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What is a Qualified Income Trust (QIT)?
A Qualified Income Trust, or Miller Trust, is a trust (a special bank account) that allows individuals to qualify for TennCare CHOICES benefits when their monthly income is too high to otherwise get those benefits. The bank account holds the amount of monthly income that exceeds the income cap for TennCare. The money in this account can only be used for nursing home costs or in-home nursing costs, plus several other special expenses that are listed in the trust document. A QIT cannot be used to protect or shelter assets.
What are Medicare Savings Programs?
Medicare Savings Programs (MSPs) are federally funded programs carried out by individual states. MSPs help low-income people with Medicare pay their premiums. Some MSPs also pay for deductibles, coinsurance, and copayments so long as certain conditions are met. You cannot receive benefits in more than one MSP.
What is a nursing home?
A nursing home is a facility for people who do not need hospital care but do need continuous nursing services on an in-patient basis. Nursing homes provide care on a 24-hour basis, 365 days per year. Services in nursing homes include nursing care, custodial and rehabilitative care (like physical, occupational, and speech therapy), and specialized care (like care for people suffering from dementia). Nursing homes also provide social, recreational, and spiritual activities for residents.
What is a Qualified Income Trust (QIT)?
A Qualified Income Trust, or Miller Trust, is a trust (a special bank account) that allows individuals to qualify for TennCare CHOICES benefits when their monthly income is too high to otherwise get those benefits. The bank account holds the amount of monthly income that exceeds the income cap for TennCare. The money in this account can only be used for nursing home costs or in-home nursing costs, plus several other special expenses that are listed in the trust document. A QIT cannot be used to protect or shelter assets.
**The following information applies only to Tennessee nursing homes. If you live in an assisted or independent living facility, the rules are different.**
What Is An Involuntary Discharge?
An involuntary discharge is when you want or need to stay in your current nursing home, but the nursing home thinks you should not stay there.
What is an assisted living facility?
An assisted living facility is any group residential program that is not licensed as a nursing home and that provides personal care and support services to people who need help with daily living activities. Assisted living facilities usually combine housing, personal services, and light medical care. They support those who are too frail to live alone but too healthy to go to a nursing home.
What is adult day care?
Adult day care programs offer daytime services for impaired older adults. Most centers are open 8 to 10 hours per day on weekdays. Most centers help the senior remain living in the community at the highest level of independence possible. Participants can delay or avoid use of more costly in-home and nursing home care by using adult day care.
What is home care?
Home care refers to services performed at a person’s home by an outside agency. Home care enables seniors requiring part-time medical or personal care to remain in their homes.
What type of home care services are available?
Services fall into two categories: 1) skilled services and 2) home support services.
What is a Continuing Care Retirement Community (CCRC)?
A CCRC offer seniors the ability to age in place without ever having to move for health reasons. CCRCs provide a continuum of care that includes everything from independent and assisted living to memory care and skilled nursing. Continuing care offers the convenience of having healthcare and support services in one location where seniors can easily transition from one residential care setting to another.
Many people struggle to find affordable housing. The following four programs are designed to help connect individuals and families with housing that meets their needs. At the bottom of each description, you will find individual fact sheets providing details about the four following programs:
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