Types of TennCare: CHOICES for Long-term Care

There are many different branches of TennCare, Tennessee’s Medicaid program. It is not one overarching program that covers all your needs once you are enrolled; rather, different TennCare programs meet different needs or serve different populations. The programs vary from insurance for low income families and children, to hospice services, to hospitalization coverage in emergencies, to help with Medicare premiums, to coverage for long-term care.The TennCare coverage that pays for long-term care is called CHOICES. Long-term care means that a person needs ongoing help doing a variety of everyday activities because of aging, an injury, or a disability. These activities can include dressing, bathing, eating, and transferring, to name a few. The need for long-term care may also be related to dementia, which reduces cognitive abilities and can result in risks to the person’s safety.Long-term care offered through TennCare CHOICES may be delivered in nursing homes, assisted living facilities, and private residences, depending on which CHOICES group the person enrolls in. The specifics of each CHOICES group are slightly different, but eligibility for all is the same: there must be evidence to show that the person needs a nursing home level of care, and they must qualify financially.TennCare applications can be complicated, and assessing medical and financial eligibility isn’t always straightforward.  There is also lots of misinformation you may hear by word-of-mouth.  If you or a loved one might seek TennCare benefits in the future, contact a qualified elder law attorney to help maximize benefits, preserve assets like the home, and avoid missteps along the way. 

Amelia Crotwell, JD

Amelia Crotwell, founder and managing partner at Elder Law of East Tennessee, has guided families through long-term care and special needs challenges for nearly two decades. Specializing in Life Care Planning and special needs trusts, Amelia also collaborates across all areas of elder law, including wills, trusts, Medicare, Medicaid, probate, and veterans benefits planning. Certified as an Elder Law Attorney since 2011, she is president-elect of the Life Care Planning Law Firms Association and co-chair of their strategic planning committee. Amelia is deeply involved in the Special Needs Alliance and a prominent member of the National Academy of Elder Law Attorneys. She played a key role in founding the Tennessee chapter of NAELA, serving as its first president. A member of the Tennessee Bar Association and past chair of its Elder Law Section Executive Council, Amelia also dedicates time to pro bono work and community education. She earned her J.D., summa cum laude, from the University of Tennessee College of Law and teaches Elder Law there as an adjunct professor since 2018.

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