Frequently Asked Questions (FAQ)
General · Common Problems · Eligibility · Benefits · MCOs · Pharmacy · Appeals · Childrens Advocacy · HIPAA ·
General
- Who are you?
- How can you help?
- When can I call?
Our phone lines are answered between 8 am and 6 pm, Monday through Friday, Central Time.
- 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?
- 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?
Pharmacy
- 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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