• Who are you?
• How can you help?
• When can I call?
• Do you have a toll-free number?
• How are you funded?
• Do you have services in other languages?
• Can I apply for TennCare with you?
• Can you get me my medicine?
• Are you TennCare?
• Do you share my information with other groups?
• Why do you want my social security number?

• I just received a bill, do I need to pay it?
• I have TennCare, but TennCare won't pay for my treatment. What can I do?
• What happens if my health plan denies a claim and the provider starts billing me?
• I have TennCare but I can’t get my medicine. What can I do?
• I called my health plan to find a doctor, but they don't have any close to me. What can I do?
• I lost my TennCare card. What can I do?
• I can't drive myself to the Doctor. What can I do?
• My income/family information or my address has changed, what do I need to do?
• I am very sick but my DHS worker says I don't qualify for TennCare. What can I do?
• I've lost my TennCare? What can I do?

• What is TennCare?
• What is the difference between TennCare and Medicaid?
• How do I qualify for TennCare?
• How do I apply?
• Where do I go to get an application?
• I have other insurance, can I get TennCare?
• I'm eligible for a HIPAA plan, can I get TennCare?
• I'm eligible for COBRA can I get TennCare?
• I have SSI, can I get TennCare?
• I have Medicare, can I get TennCare?

  Yes, you can have Medicare and Medicaid. You need to apply for Medicaid at your local DHS office. If you have special needs please Health Assist Tennessee at 1-800-722-7474. If you receive Medicare, there are several Medicare Cost Saving Programs for which you may be eligible. These are called QMB, SLMB, and QI1. These programs help with your Medicare premium, and in some cases, your deductible and coinsurance cost. You can apply for these programs at DHS. Medicare introduced its prescription program known as Medicare Part D which may cover prescriptions for individuals receiving Medicare. For more information on Medicare Part D or for assistance in choosing a Medicare Part D plan, contact 1-800-MEDICARE or go to www.Medicare.gov. Or you may contact a SHIP counselor at 1-877-801-0044.

• I have a card, is my TennCare OK?
• Do I have TennCare Standard or TennCare Medicaid?
• What is the difference between TennCare Standard and TennCare Medicaid?

• What health services does TennCare offer?
• What dental services does TennCare offer?
• What mental health services does TennCare offer?
• Does TennCare offer transportation?
• What services does TennCare have for children?

• What is an MCO?
• Can I change my MCO?

• I have TennCare, what pharmacy can I go to?
• What medicines are covered under TennCare?
• What is prior approval? Why would I need it?
• If I lose my TennCare, I won't be able to afford my medications. What can I do?
• What is the Prescriber Attestation List?

• What is an appeal?
• What is the difference between eligiblity/administrative and medical appeals?
• How long do I have to file an appeal?
• Will I get back on TennCare if I file an appeal?
• How long will TennCare take to answer my appeal?
• What is a fair hearing?
• Do I need a lawyer for a fair hearing?

• What does the Children's Advocacy Program do?
• Who can file an appeal?
• How do I file an appeal?
• What is the difference between a regular appeal and an expedited appeal?
• Are custody issues appealable through TennCare?
• Is there more than one appeal form for different TennCare services?
• What should I do if an appeal is denied?
• How long do I have to wait before an appeal can be filed?
• Does DCS send all staffings to the TennCare Children's Advocacy Program?
• If a child in state custody is not on TennCare whom do I call?

• What is HIPAA?
• Does the rule require my doctor to send my medical records to the government?
• What does the HIPAA Privacy Rule do?
• Why is the HIPAA Privacy Rule needed?

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