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The Memphis Center for Independent Living Journal

 



DAY FORTY-SIX: The Numbers

The Human Cost of the TennCare Changes effective Aug. 1

T-shirt reading: If Phil wants to play doctor, he needs to get a license!No pharmacy benefit

191,000 Adults in TennCare Standard. They received request for information forms, "brown forms," on June 6 and are losing TennCare coverage unless they qualify for Medicaid.

Five-prescription limit

379,000 Adults who are Medicaid eligible and remaining on the TennCare program.

Unlimited pharmacy coverage

650,000 Children; no children are affected by disenrollment or pharmacy changes.

32,400 Institutionalized adults. Includes people in nursing homes, home and community-based programs and facilities for the mentally disabled.

97,000 "Medically needy" adults. They received a 10-day extension from the state while it analyzes the court ruling that could save enough money to keep them on the program. The extension expires Monday.

A 30-day notice was mailed to all enrollees affected by the pharmacy changes.

Randy Alexander, Louis Patrick and Don DeVaul.

Disenrollment:

107,000 Adults have received termination notices as of Aug. 1. TennCare is mailing, on average, about 1,900 termination notices each business day. The notice provides 20 more days of coverage.

84,000 Adults are being processed by the state Department of Human Services to see whether they qualify for Medicaid. They have not received termination notices yet.

191,000 Maximum number of adults who could lose TennCare coverage if the 97,000 medically needy population remains covered.

288,000 Maximum number of adults who could lose TennCare coverage if the 97,000 medically needy population is not covered.

46 - Days with no response from Phil Bredesen.

SOURCE: TennCare Bureau

 

MCIL Journal Index 2005

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The Memphis Center for Independent Living
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(901) 726-6404 v/tty (901) 726-6521 fax
mcil@mcil.org 

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2005 Tim Wheat