Tennessee Medicaid Eligibility Requirements

If you are looking to apply for Medicaid in Tennessee** then read the information below. Though we try to provide accurate information please note this is for informational purposes. We recommend you contact your Tennessee Medicaid Office to verify these eligibility requirements.

Tennessee Medicaid Overview
If you can't afford health insurance, TennCare (Medicaid) provides coverage for working families with low incomes. TennCare Standard provides health coverage for children about to lose their TennCare (Medicaid) eligibility.

Tennessee Medicaid Eligibility
Enrollees must reside in Tennessee and be U.S. citizens or qualified aliens.

TennCare Standard Eligibility: Applicant must be covered by TennCare (Medicaid) and be children ages 0 to 18 whose eligibility for and enrollment in TennCare (Medicaid) are ending. They must have no access to group health insurance, and have incomes of up to 200% FPL. If above 200% FPL, then the patient must have problems getting health insurance due to a pre-existing medical condition.

Medicaid Income Requirements In Tennessee
This information is based on the Federal Poverty Level (FPL). These income guideline standards were effective starting January 1st, 2014.
Children
Age 0-1 195% FPL
Age 1-5 142% FPL
Age 6-18 133% FPL

Pregnant Women
195% FPL

Adults
Parents 106% FPL
Other Adults 0%
Is Medicaid Expanding? No

Documents You May Need
Proof of income
Proof of pregnancy if you are pregnant
Proof of deductions and expenses (Childcare, dependent care, elderly care, etc.)
Proof you live in Tennessee
Proof of Citizenship, status as U.S. National, or Immigration Status

Medicaid Coverage In Tennessee
TennCare and TennCare Standard Coverage: It offers inpatient hospital services, outpatient hospital services, prenatal care, vaccines for children, physician services, nursing facility services for persons aged 21 or older, family planning services and supplies, rural health clinic services, home health care for persons eligible for skilled-nursing services, laboratory and x-ray services, pediatric and family nurse practitioner services, nurse/midwife services.

**The information provided above is a general guideline when applying for Tennessee Medicaid. These guidelines can change from time to time, because of that we recommend that you contact your local Medicaid office in Tennessee to verify the latest eligibility requirments for Medicaid coverage in Tennessee.