TennCare eligibility policy is complex. It incorporates special regulations and exceptions for various situations, and changes frequently due to legislative regulation. To qualify for eligibility with TennCare, a person must (a) have a pre-admission evaluation that determines a need for a level of care provided in setting like nursing facility, intermediate care facility, (b) reside in a TennCare qualified LTC facility or receive TennCare home and community-based care services under a federally approved waiver program, (c) meet income and resource guidelines, (d) disclose an interest in an annuity for self and spouse of married, (e) not be in a penalty period for uncompensated transfer of income assets.