Tennessee Medicaid Eligibility Requirements

This page provides general guidelines for the Tennessee Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Tennessee Bureau of TennCare. The name of the state program is TennCare. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Tennessee Medicaid office.


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 Requirements - Non Income

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.


Documents Needed For Tennessee Medicaid Application

  • 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

Tennessee Medicaid Benefits

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.


Tennessee Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Tennessee Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 195%
Age 1-5: 142%
Age 6-18: 133%
 250% Medicaid: 195%
CHIP: N/A		 105% 0%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $1,896
Age 1-5: $1,381
Age 6-18: $1,293
 $2,431 Medicaid: N/A
CHIP: N/A		 $1,021 $0

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,556
Age 1-5: $1,861
Age 6-18: $1,743
 $3,277 Medicaid: $2,556
CHIP: N/A		 $1,376 $0

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,216
Age 1-5: $2,342
Age 6-18: $2,193
 $4,123 Medicaid: $3,216
CHIP: N/A		 $1,732 $0

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,876
Age 1-5: $2,822
Age 6-18: $2,643
 $4,969 Medicaid: $3,876
CHIP: N/A		 $2,087 $0

Medicaid Eligibility

State Medicaid Office

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