Tennessee’s Medicaid program covers 1.5 million residents and is the only one program that enrolls all of the state’s Medicaid population into managed care. About 65 percent of nursing home residents within the state use Tennessee’s Medicaid program, also known as TennCare, to cover costs.
To qualify for TennCare Medicaid, you must be a resident of Tennessee and meet the income requirements. If you receive SSI or received SSI in the past concurrently with Social Security, you may already qualify. If you already live in a skilled nursing facility and have an income that is less than $2,199 per month or you get long-term care services from TennCare you may be eligible.
You or your representative can apply online at HealthCare.gov or you can print out an application and mail it to the local office. If you would rather visit a Department of Human Services (DHS) office, you can find the Knox County Office at: 2700 Middlebrook Pike, Suite 200, Knoxville. To save time, call ahead and make an appointment to see a representative. You can reach the Knox County workers at (865) 594-6151.
You can also apply over the phone if travel is difficult for you by calling 1-800-318-2596. If you have a disability that prevents you from applying using the methods listed above, you can have a representative call the local Area Agency on Aging and Disability at 1-866-836-6678 to have a worker come to your home.
If you are interested in applying for long-term care services through TennCare and you are already covered by a managed care organization (MCO), simply call the MCO and notify them you want to apply for the CHOICES program.
If you do not have TennCare yet, call your local Area Agency on Aging and Disability office at 1-866-836-6678 to learn more about other programs you can use if you do not qualify for Medicaid. The local Area Agency on Aging is located at: 408 N. Cedar Bluff Road, Knoxville.
TennCare will cover doctor visits, emergency room visits, hospital stays, outpatient services deemed medically necessary, prescription medication, emergency ambulance transport, medical supplies, lab work, x-rays, occupational therapy, physical therapy, and speech therapy.
The CHOICES program covers nursing home care and community-based services. The CHOICES provides Knoxville residents with help at home including dressing, bathing, meal preparation, meal delivery, adult day care, in-home and in-patient respite care, and light housekeeping.
TennCare covers non-emergency medical transport services to help you get to and from doctor’s appointments if you do not have any other way. TennCare uses SouthEastTrans to arrange for trips to appointments. You will need to call the local office to set an appointment. One person may go with you to your appointment. The service is a shared-ride service and you may be riding with another TennCare member.
TennCare can also provide bus passes to those residents near transit systems. Call the local Knox County office to see which transportation service they offer.
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