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Tennessee Medicaid Expansion

 

Medicaid Expansion:
Tennessee does not participate in Medicaid Expansion under provisions of the Affordable Care Act (ACA).
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
Medicaid in Tennessee:
The Tennessee Department of Finance and Administration administers the Medicaid Program. Information about the state’s Medicaid program, including patient eligibility information, can be found at: http://www.tn.gov/tenncare/.
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www.tn.gov/tenncare/pro-forms.shtml.
The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.tn.gov/tenncare/.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.
 
Medicaid Managed Care:
Some Tennessee Medicaid Program beneficiaries are enrolled in managed care plans, called TennCare. Basic information about TennCare can be found at: http://www.tn.gov/tenncare/pro-mcos.shtml.
Some managed care plans cover individual Tennessee counties and independent cities. The Medicaid website has jurisdictional information: http://www.tn.gov/tenncare/pro-mcos.shtml.
TennCare Beneficiaries Participating in Managed Care:
Managed care plans participating in TennCare offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.
Managed Care Plans Participating in TennCare:
Amerigroup
Plan Website: https://www.myamerigroup.com/English/Medicaid/TN/Pages/TN-2012.aspx
 
BlueCare
 
TennCare Select
Plan Website: http://www.bcbst.com/members/tc_select/
Provider Enrollment: http://www.bcbst.com/providers/
 
United Healthcare Community Plan

 

 

 

 

 

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