There are two (2) kinds of TennCare:
To be eligible for TennCare as a new applicant, you must qualify for TennCare Medicaid
DHS staff can answer your questions and explain how to qualify. They can also tell you what information they'll need from you to help them decide if you're eligible.
If you think you might be eligible or have questions, call the Family Assistance Service Center at 1-866-311-4287.
TennCare Medicaid is for Tennesseans who are eligible for a Medicaid program. You can apply anytime for TennCare Medicaid.
There are several different groups of people that may qualify. And, each group has different income limits. Some of the groups also have limits on how much you own-your "resources." These are things like bank accounts, cars, and land. The number of people who live in your household count too.
Some of the groups TennCare Medicaid covers are:
You can be screened on line to help you decide if you want to apply for Medicaid. To apply, call your county Department of Human Services (DHS) office or go to the application. To find out the address and phone number of your local DHS office.
TennCare Standard is only available for children under age 19 who are already enrolled in TennCare Medicaid and:
DHS will determine if they qualify for TennCare Standard. There are two ways they can qualify and be able to keep their healthcare benefits:
To qualify as uninsured:
If the family's income is above 200 percent of poverty, the child may qualify for TennCare Standard as Medically Eligible.
To qualify as "medically eligible";
Once screened for this category through DHS, TennCare will mail a Medical Eligibility packet to the child's caregiver to complete. The packet asks for specific information about the child's health and from the information, a determination of eligibility is made.
TennCare Standard Spend Down is only available to adults who have Standard Spend Down now. It's called "Spend Down" because to qualify, you use medical bills to "spend down" (or lower) your income. To re-qualify, you must have Standard Spend Down now and be able to meet resource and all other technical requirements. AND you must be: