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Do you need to know how to file an eligibility appeal?

Has your application been denied? Or do you have to pay co-pays and disagree with how much you have to pay? Or do we have your income or family size wrong?

There are 2 ways to file a TennCare eligibility appeal:

1. Appeal by phone by calling the Family Assistance Service Center 1-866-311-4287.

2. OR, appeal in writing. You can get an appeal page from DHS. Or, you can write your appeal on plain paper. If you write your appeal on plain paper, be sure you include:

  • Your full name (first name, middle initial, last name)
  • Your Social Security Number
  • The names of anyone else in your household with the same problem
  • Your daytime phone number and the best time to call
  • The specific mistake you think we made
  • Any proof that shows why you think we made that mistake

Mail your appeal to this address:

Tennessee Department of Human Services
Division of Appeals and Hearings
P.O. Box 198996
Nashville, TN 37219-8996

Keep a copy of your appeal. Write down the date that you sent it to DHS. Or, fax your appeal to 1-866-355-6136. It's a free fax line.

Keep the page that shows your fax went through.

Legal Services or Legal Aid may give you free help with your appeal. To get a list of their offices, call the Family Assistance Service Center 1-866-311-4287.

Do you need help filing a TennCare eligibility appeal?

Is it because you have a health, mental health, or learning problem or a disability? OR, do you need help in another language? If so, you have a right to get help, and DHS can help you. Call the Family Assistance Service Center 1-866-311-4287. Someone who has the legal right to act for you can also file an appeal for you.

Do you have a mental illness and need help with your TennCare? The TennCare Advocacy Program can help you. Call them for free at 1-800-758-1638.

View this document in a printable (pdf, 18kb).