Office of Managed Care

Eligibility

TennCare Partners Eligibility:

To be eligible for services under the TennCare Partners Program, a person
must meet one of the following:

1. Eligible for full TennCare or Medicaid – Be eligible for TennCare or Medicaid
   as determined by the Department of Human Services

1. More information is available on the TennCare web site:

www.state.tn.us/tenncare/members.html

OR

1. Eligible for Mental Health Benefits Only (State-Only) – If not currently eligible for TennCare AND meets the following:

1. Been determined ineligible for TennCare or have a pending TennCare application; and
2. Not be a prior TennCare enrollee terminated from coverage as a part of TennCare Reform with access to safety net services; and
3. Not have access to private health insurance; and
4. Not have Medicare coverage; and
5. Be a U.S. Citizen or a legal resident Alien; and
6. Be a resident of Tennessee; and
7. Have been identified as SPMI/SED (CRG = 1, 2, or 3; TPG = 2); and
8. Have family income no greater than 100% of the Federal Poverty Level (FPL); and
9. Must not be an inmate.

To qualify for this category a person should go to their local Community
Mental Health Agency who can assist them.

www.state.tn.us./mental/reslinksabc.html

2. Eligible for Mental Health Benefits to cover involuntary commitments,
   evaluations and services at a Regional Mental Health Institute or an
   approved psychiatric facility (Judicial) – If not currently eligible for TennCare
   and meets the following:

1. Have been involuntarily committed for evaluation and treatment, as documented
   by either two Certificates of Needs or a court order

For additional information, please contact:

DMHDD Office of Consumer Affairs
1-800-560-5767 from 8 AM to 4:30 PM, Monday through Friday
or email: