What is TennCare?
TennCare is the state's $5.8 billion health care program for 1.4
million poor and uninsured citizens. The federal government pays
two-thirds of the cost, with a projected $1.8 billion coming during
the current budget year from state taxpayers and the remainder from
enrollees' premium payments and other sources.
The program delivers comprehensive insurance through a network
of 10 managed care organizations and two behavioral health
TennCare pays for an average of 14 prescriptions per person,
nursing home care for 41,500 people, and home health and community
care for more than 5,000 people who otherwise would require
TennCare also provides support for other state services, such as
state-operated psychiatric hospitals, local health departments, the
Families First program and children in state custody.
Who is in TennCare?
Average enrollment was more than 1.4 million in 2001. Enrollees
are divided into three groups:
- Medicaid-eligible: 823,932.
This group is for the poor and disabled. Federal law determines
- Previously uninsured: 428,214.
TennCare limited enrollment in this group in 1995. Current
enrollment is open to workers who lost health benefits because of a
business closure; certain other families that lost coverage; and
children in families with incomes less than $35,300.
- Uninsurable: 151,410.
This group includes people who have been denied private health
insurance because of a pre-existing condition.
How much is spent on TennCare?
The state's portion for the 2000-2001 budget year was:
- TennCare services, $969.5 million
- Long-term care services, $440.1 million
- Waiver and crossover services, $149.5 million
- Administration, $64.9 million
Source: The Bureau of TennCare
(Copyright 2002 by The Associated Press. All Rights Reserved.)