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Bureau of TennCare 2011 - TN gov - tn

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The document provides an overview of TennCare, Tennessee's Managed-Care Medicaid Program, which serves approximately 1.2 million low-income individuals, including children, pregnant women, and disabled residents. It outlines key topics such as enrollment statistics, benefit changes effective October 1, 2013, updates on providers and contractors, the impact of the Affordable Care Act on payment rates, and initiatives addressing Neonatal Abstinence Syndrome (NAS). The document also includes information on billing practices for providers and guidelines for MCO (Managed Care Organization) changes.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Is Tennessee Medicaid the same as TennCare?

TennCare is the state of Tennessees Medicaid program. It provides healthcare to mostly low-income pregnant women, parents or caretakers of a minor child, children, and individuals who are elderly or have a disability. To get Medicaid, you must meet the income and resource limits. You can apply anytime for TennCare.

Is TennCare based on taxable income?

Income eligibility for certain TennCare Medicaid categories and CoverKids is determined using the Modified Adjusted Gross Income (MAGI) methodology. In general, countable income includes income types that are taxable under federal tax law and excluded income includes income types that are non taxable.

How does TennCare verify income?

What can be used as proof? Pay stubs, tax forms (1040 or W-2 from the last tax year), or any other proof of work and income should be returned with the renewal packet.

Is TennCare ending in 2023?

TennCare will be in Phase II until April 1, 2023, when renewals begin.

Can you have TennCare if you are married?

TennCare rules account for the fact that many applicants are married, and their spouses may not need long-term care in a residential facility. It is important that the community spouse be able to keep sufficient resources to pay for living expenses in the community.

Can adults be on TennCare?

What is the household income limit for TennCare?

Who is eligible for Tennessee TennCare? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

How do I check my TennCare status online?

TennCare Connect is a self-service portal that allows applicants and members to create an account, check your status, report changes, read letters, and more!

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