Tennessee Application for Presumptive Eligibility for Medicaid

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Multi-State
Control #:
US-0538BG
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PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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How to fill out Application For Presumptive Eligibility For Medicaid?

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FAQ

Apply for Medicaid in Tennessee Eligibility: Parents with dependent children are eligible for Medicaid with household incomes up to 105% of poverty. Children are eligible for Medicaid or CHIP with household incomes up to 250% of poverty, and pregnant women are eligible with incomes up to 195% of poverty.

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

The TennCare Presumptive Eligibility (TPE) category provides Medicaid coverage for a 45-day time period for all eligible pregnant women. Real time online enrollment into TPE provides an opportunity for the pregnant woman to begin receiving full Medicaid covered services the same day that she is approved.

The packet asks for specific information about the child's health and from the information. Once the packet is completed and returned, a determination of eligibility is made.

Income & Asset Limits for Eligibility 2023 Tennessee Medicaid / TennCare Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Medicaid Waivers / Home and Community Based Services$2,742 / month?$4,000 ($2,000 per spouse)Regular Medicaid / Aged, Blind, and Disabled$914 / month$3,0002 more rows ?

Income eligibility for certain TennCare Medicaid categories and CoverKids is determined using the Modified Adjusted Gross Income (MAGI) methodology. In general, countable income includes income types that are taxable under federal tax law and excluded income includes income types that are non? taxable.

Income & Asset Limits for Eligibility 2023 Tennessee Medicaid / TennCare Long-Term Care Eligibility for SeniorsType of MedicaidSingleMarried (both spouses applying)Medicaid Waivers / Home and Community Based Services$2,742 / month?$4,000 ($2,000 per spouse)Regular Medicaid / Aged, Blind, and Disabled$914 / month$3,0002 more rows ?

TennCare is the state of Tennessee's Medicaid program. It provides healthcare to mostly low-income pregnant women, parents or caretakers of a minor child, children and individuals who are elderly or have a disability. To get Medicaid, you must meet the income and resource limits. You can apply anytime for TennCare.

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Tennessee Application for Presumptive Eligibility for Medicaid