What is Medicaid in Tennessee? Medicaid, known as TennCare in the state, makes it possible for eligible applicants to get medical services such as doctor visits, lab work, emergency care and more at a low or no cost. Information about Medicaid is extensive, covering everything from eligibility to apply, the services provided, the costs related to assistance. The federal government sets the guidelines for the Medicaid program, which the state enforces. Tennessee must uphold the federal mandates but have the option to include additional covered services or eligibility groups. This includes accepting or declining the Affordable Care Act (ACA) expansion. Although a large portion of the 12 billion dollar budget comes from the federal level, resources for Medicaid coverage are limited and state officials use a process to determine who is in most need of coverage.
To qualify for Medicaid in Tennessee, potential beneficiaries must first complete an application form and turn it into state officials. The application for Medicaid requires a host of information from basic details, such as full legal name, to more specific data like financial records. Income is an essential determining factor for state officials reviewing a case. Other factors that affect eligibility for Medicaid include the age and health status of a claimant. For instance, the state will cover many medical expenses for children in Medicaid ineligible homes who enroll in the Children’s Health Insurance Program (CHIP) in TN. Knowing what is Medicaid eligibility is helpful for prospective petitioners, particularly special groups like minor, pregnant, blind and deaf applications.
Information about Medicaid pertaining to cost and coverage will depend on the beneficiaries. Since Medicaid is intended for low-income households, claimants with higher incomes may be required to share medical expenses through deductibles, copayments and other fees. Likewise, coverage can vary on age and medical status, as Medicaid offers insurance plans that cater to the recipient. For example, hearing aids may be available to minors but not aging adult who may only qualify for equipment deemed medically necessary. Eligible Medicaid applicants will receive notification from state officials regarding details about coverage. For comprehensive information about Medicaid download our free guide.