UPDATE: The 2020 rules and steps for Medicaid are largely the same as they have been in recent years.
Tennessee Medicaid is a health care program that is run jointly by the state and the federal government. If you are wondering what Medicaid is, you are at the right place. The Tennessee Medicaid program allows eligible residents to access various health services for free or at a low cost. TN Medicaid covers a variety of health procedures. The procedures are predetermined by the state and may change from time to time.
Tennessee Medicaid is meant for people with low income. What are the Tennessee Medicaid eligibility requirements? The requirements are set by the state and relate to citizenship and income status of applicants. Generally, the program is meant for people living below the federal poverty line or that are in determined special groups.
Tennessee Medicaid application is easy and free. Eligible people can apply for the program in a few ways. Check our TN Medicaid application section for more information. The applications are received and processed by the Division of HealthCare, Finance & Administration. When your TN Medicaid application is approved, you will have to choose a managed care organization (MCO) and a primary health care provider.
Tennessee Medicaid has not been expanded like is the case in some states have. As a result, the program does not cover as many people as it could. As of June 2016, there were 1,623,164 people enrolled in the program. However, TN Medicaid could potentially cover 501,000 more people if expanded. The state is leaving approximately $22.5 billion on the table over the next decade for failing to expand Medicaid. While expansion has not been realized, efforts are still ongoing to make it a reality.
Medicaid in Tennessee covers a number of pre-determined health services and items. The items and services may be reviewed over time. Medicaid in Tennessee fully covers some procedures for eligible enrollees. However, majority of procedures attract a copayment. Moreover, there may be restrictions on the amount of service covered. TN Medicaid members should confirm from their primary care providers whether the medical items or procedures they need are covered.
What Are the Requirements for Medicaid in Tennessee?
Learning what are the requirements for Medicaid in Tennessee is the initial step in determining if you qualify for coverage under the state system. TennCare Medicaid benefit eligibility criteria varies depending on many factors including the age and income of the applicant. In addition to age, several other non-financial TN Medicaid eligibility requirements apply to those seeking subsidized care from state and federal programs.
How to Apply for Medicaid in Tennessee
Medicaid in Tennessee is known as TennCare. Tennessee has several options available for individuals who find themselves in need of health insurance. When applying for Medicaid in Tennessee, one must be a Tennessee resident and have proof of residency. Applicants may also need to provide a social security number, or proof of a legal immigration status to receive TennCare benefits.
Learn About the Cost and Coverage of Medicaid in Tennessee
Obtaining Tennessee Medicaid coverage is just the beginning for applicants who have just received their benefits. The next question a beneficiary may ask his or her self is, “What are Medicaid cost estimates?” and a logical follow-up question would be, “What services are covered by Medicaid?” The answers to these questions are varied and are based upon the type of service rendered as well as the type of plan a beneficiary has.