Bryson Eubanks, Attorney

Recent Changes In the Law Greatly Affect the Way Spouses Must Plan for TennCare/Medicaid

Retirement Accounts Of the Community Spouse Retirement Accounts Of the Community Spouse

Retirement Accounts Of the Community Spouse

When a married couple considers paying for long-term care with TennCare/Medicaid, they are split into two categories: 1. Institutionalized Spouse (IS) and 2. the Community Spouse (CS). The difference between the two is that the IS is applying for TennCare/Medicaid benefits while the CS is not. Under the same application, Medicaid always determines whether spousal resources are countable or exempt. As you would expect, countable resources can prevent eligibility, but exempt resources do not. Traditionally, retirement accounts, such as IRA’s and 401K’s, for the IS are always countable resources for qualification purposes. On the flip side, the CS’s retirement accounts did not count, if the CS was taking monthly payment that were equal to a required minimum distribution (RMD).

 This rule recently changed. Now, if a CS has the option of withdrawing funds in a lump sum, no matter if an RMD is possible, the retirement account is considered a countable resource. The retirement account  can be an excluded resource if the CS is required to terminate their employment to access the funds or they are receiving periodic payments (e.g., pension or annuity). However, the period payment option would require that the pension be outside the control of the CS or that the annuity be set up to meet or modified to meet exact Medicaid rules. Otherwise, distributions and systematic withdrawals from a retirement account are conversions of a resource rather than income when a lump sum amount can be withdrawn.

These recent changes greatly affect the way spouses must plan for TennCare/Medicaid. The goal is to avoid huge mistakes that can upset crucial planning. If you have any further questions about a TennCare/Medicaid, your retirement accounts, or long term care planning, please contact Bryson Eubanks at Kane & Crowell Family Law Center at This email address is being protected from spambots. You need JavaScript enabled to view it. or by phone at (615) 784-4800.

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