TennCare's transfer policy, current as of January 5, 2026, applies a 60-month look-back to resource transfers made on or after February 8, 2006. The look-back date gets fixed at the point someone first applies while institutionalized, or first meets home- and community-based-services requirements — and it doesn't reset just because there's a later application or a new eligibility period.
What TennCare is actually looking for is any transfer made for less than fair-market value. The state defines the uncompensated value as the asset's equity value minus whatever the individual received in return, and finding an uncompensated transfer can make an otherwise-eligible person ineligible for payment of long-term services and supports.