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Redetermination

All Medicaid agencies like TennCare are required to redetermine the eligibility of members on at least an annual basis. Due to the many complicated changes to Medicaid that took place starting January 1, 2014, the federal government encouraged Medicaid agencies to suspend redetermination efforts in order to focus on other tasks. Most Medicaid agencies – including TennCare – suspended annual redetermination efforts.

TennCare began redetermining eligibility for some members in the summer of 2015. Starting in December 2015, TennCare entered into the final phase of the new, post-January 1, 2014 redetermination process. Some members began receiving renewal packets in the mail. These packets include forms that must be completed and returned to TennCare by the date requested in the mailing. This must be done in order for members to keep their TennCare. In order for members to keep their TennCare they should:

  1. Make sure TennCare has their current address. Members can call 1-855-259-0701 to update their address.
  2. Open all mail from TennCare and follow the instructions.

Helpful documents