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Tennessee Medicaid

TennCare

No Medicaid expansion 12-month postpartum

TennCare covers pregnant women up to 200% of the federal poverty line, roughly $51,640 annual income for a family of three in 2025. The state has not adopted Medicaid expansion.

On maternal health specifically: TennCare has extended postpartum Medicaid coverage to 12 months (effective 2022-04-01), and does not cover doula services through Medicaid.

TennCare operates under a Section 1115 block-grant waiver, the only one of its kind in the country, which Governor Lee's administration secured in January 2021. Tennessee remains a non-expansion state; the Tennessee Justice Center has led the coverage-gap advocacy campaign.

Ways to apply for TennCare

These are the channels Tennessee names on its own Medicaid pages. Use whichever is easiest.

Online
Apply online

tenncareconnect.tn.gov

In person
Help in person from the local county Department of Health office.
HealthCare.gov
You can also apply at HealthCare.gov any time of year. If anyone in your household looks eligible for Medicaid, it sends your information to Tennessee's agency.
Decision time
Federal rules give the state up to 45 days to decide, or 90 days if you apply based on a disability (42 CFR 435.912).

Read on the state's own pages, October 13, 2026.

Key facts at a glance

  • Pregnant women eligible up to 200% FPL ($51,640 for a family of three in 2025).
  • Children 0-5 eligible up to 146% FPL ($37,700 for a family of three).
  • Parents eligible up to 95% FPL only, no expansion adult category.
  • Postpartum Medicaid extended to 12 months (effective 2022-04-01).

For Black families

Roughly 325,000 Black residents are enrolled in TennCare, per the most recent CMS T-MSIS analytic file. The number understates true eligibility: every state has Black eligibles who aren't currently enrolled, usually because of the administrative-churn rates that rose sharply during the 2023 unwinding.

TennCare operates under a Section 1115 block-grant waiver, the only one of its kind in the country, which Governor Lee's administration secured in January 2021. Tennessee remains a non-expansion state; the Tennessee Justice Center has led the coverage-gap advocacy campaign.

For enrollment help: look for your state's Navigator program (federally funded under the ACA), a Federally Qualified Health Center in your county (every FQHC has certified application counselors on staff), or one of the named community organizations below. Our FQHC directory filters to this state at /clinics/tn/.

Data sources

Data refreshed:

If you have Medicaid, the coverage on this page is the route to use first: it costs you nothing and it is what these programs exist for. If you are not covered yet, there is still a free option. Our directory of free and charitable clinics lists centers by state. The option below is self-pay and is not billed to Medicaid. It is here for readers who are between coverage or who prefer to pay out of pocket:

Sesame Care

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Same-day video visits from $34

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