Memphis, TN

Tennessee Medicaid Waiver for Dementia: Memphis

Learn how TennCare CHOICES covers long-term dementia care in Memphis, including eligibility, asset limits, and the AAAD application process.

TennCare CHOICES is the Medicaid long-term care program Memphis families use when Alzheimer's disease or another dementia creates a need for nursing-facility-level support at home or in a facility. Clinical eligibility rests on a Nursing Facility Level of Care review, not on a diagnosis name alone, and financial rules include modest asset limits and a five-year look-back. This guide explains those Tennessee-specific rules and how to start an application. Families comparing local options can also review the Memphis care hub for home-based support that may run alongside a CHOICES application.

What Is TennCare CHOICES?

TennCare CHOICES is Tennessee's Medicaid long-term services and supports program, administered by the Division of TennCare, delivered through managed care organizations, and assisted at the application stage by Area Agencies on Aging and Disability (AAAD) offices. The program has three enrollment groups, and each group offers a different mix of services. Group 2 covers home- and community-based services and has an active waitlist, so applying as early as possible is recommended.

You can learn more about TennCare CHOICES from the Division of TennCare, including how the program is organized and how long-term services and supports are delivered in the state.

Dementia Eligibility Threshold in Tennessee

Tennessee does not use a separate, lower Medicaid long-term care threshold specifically for dementia, so CHOICES clinical eligibility depends on a Nursing Facility Level of Care (NFLOC) determination rather than on a diagnosis by itself. That NFLOC review evaluates Activities of Daily Living (ADLs), Instrumental Activities of Daily Living (IADLs), and cognitive and behavioral factors. Alzheimer's disease and other dementias can be considered in that review, but a dementia diagnosis alone does not guarantee an NFLOC designation.

The CDC describes dementia as an impaired ability to remember, think, or make decisions that interferes with everyday activities, and it identifies Alzheimer's disease as the most common type of dementia. NFLOC reviewers look at how those difficulties show up in daily function and behavior, not at the label on a chart. Help with bathing, dressing, or supervision, including personal care or memory care at home, can support someone while the state completes its determination.

Separately from Medicaid, families who want to learn about Alzheimer's clinical studies can search the National Institute on Aging directory of Alzheimer's Disease Research Centers.

Asset Limits for CHOICES Long-Term Care

CHOICES financial eligibility includes an asset limit of $2,000 for a single applicant and $3,000 when both spouses are applying. Meeting the NFLOC clinical standard is not enough by itself. Countable resources generally must also fall at or below these TennCare limits. Because the caps are modest, families in Memphis often talk with an AAAD early so they understand what will be counted before they file.

Confirm current figures with TennCare or your AAAD at the time you apply, and keep the look-back rules in mind before you move or gift assets.

The 60-Month Look-Back Period

Tennessee uses a 60-month (5 year) look-back period when it reviews CHOICES Medicaid applications. Families should be ready to document assets and transfers during that five-year window. The look-back is part of the state's long-term care Medicaid review. It is not a separate dementia-only rule.

Bank statements, property records, and a history of gifts or sales from the prior five years help an application move without avoidable delays.

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How Memphis Families Apply for CHOICES

Memphis residents who are not already enrolled in TennCare start a CHOICES application by contacting their local Area Agency on Aging and Disability (AAAD), or by calling 1-866-836-6678 to be directed to the nearest AAAD. Current TennCare members apply for CHOICES through their assigned health plan. TennCare Connect can also be reached at 1-855-259-0701.

Bring records that speak to ADLs, IADLs, and cognitive or behavioral needs, plus financial documents covering the look-back period. An AAAD can help you start the file if you are not already on TennCare. Applying as early as possible is recommended because Group 2 home- and community-based services has an active waitlist.

Waitlists and Home Support in Memphis

CHOICES Group 2 home- and community-based services has an active waitlist, so Memphis families often arrange private home care while they apply or wait for an enrollment slot. Companion visits can help with supervision and daily structure through companion care. Hands-on help with bathing, dressing, and mobility can come from personal care aides. When a family caregiver needs a break, respite care can cover a few hours or days. Households facing overnight safety risks sometimes look at 24-hour live-in care until a longer-term CHOICES plan is in place.

Private home care does not replace a TennCare eligibility decision, and listing a public program or research resource here is not an endorsement of any home-care provider. After a hospital stay, some families also plan hospital discharge care so the return home is supervised while CHOICES paperwork continues.

Frequently Asked Questions

Does a dementia diagnosis qualify someone in Memphis for CHOICES?

No. A dementia diagnosis alone does not guarantee a Nursing Facility Level of Care designation in Tennessee. CHOICES clinical eligibility is based on ADLs, IADLs, and cognitive and behavioral factors, and Tennessee does not use a separate, lower threshold specifically for dementia.

What is the asset limit for CHOICES in Tennessee?

The asset limit is $2,000 for a single applicant and $3,000 when both spouses are applying. Ask TennCare or your AAAD which resources count toward those limits when you apply.

How do I apply for CHOICES if we live in Memphis?

If you are not already enrolled in TennCare, contact your local Area Agency on Aging and Disability, or call 1-866-836-6678 to be directed to the nearest AAAD. If you already have TennCare, apply for CHOICES through your assigned health plan. TennCare Connect can also be reached at 1-855-259-0701.

Is there a waitlist for CHOICES home- and community-based services?

Yes. CHOICES Group 2, which covers home- and community-based services, has an active waitlist. Applying as early as possible is recommended.

What is the CHOICES look-back period in Tennessee?

Tennessee uses a 60-month (5 year) look-back period on CHOICES applications. Plan to document finances and transfers for that full window.

Does Tennessee have a special Medicaid pathway just for Alzheimer's disease?

No. Alzheimer's disease and other dementias can be part of an NFLOC review, but Tennessee does not use a separate, lower clinical threshold specifically for dementia. The same Nursing Facility Level of Care standard applies.

Who runs CHOICES, and who helps with the application?

The Division of TennCare administers CHOICES. Services are delivered through managed care organizations. Area Agencies on Aging and Disability offices assist with applications, especially if you are not already enrolled in TennCare.

Sources referenced on this page - click through for the original material: www.tn.gov · www.cdc.gov · www.nia.nih.gov

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