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Medicaid Planning · Tennessee

Tennessee Medicaid look-back rules

Medicaid look-back rules rules for Tennessee.

Published: September 5, 2026. Last checked: September 5, 2026.

Look-back period

60 months

Source: TennCare Transfer of Assets and Penalty Periods manual [state-medicaid-agency] — Dated January 5, 2026; divisor effective January 1, 2026

Transfer-penalty divisor

$295.87 per day ($8,846.10 per month)

Source: TennCare Transfer of Assets and Penalty Periods manual [state-medicaid-agency] — Dated January 5, 2026; divisor effective January 1, 2026

How the state administers the rule

Uncompensated value is divided by the average daily nursing-facility cost. The penalty starts on the later applicable otherwise-eligible date, runs consecutively rather than concurrently with another penalty, does not stop once imposed, and includes partial days.

Source: TennCare Transfer of Assets and Penalty Periods manual [state-medicaid-agency] — Dated January 5, 2026; divisor effective January 1, 2026

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.