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Managed Care, Insurance, HMOs, TennCare, etc.

  • Centers for Medicare & Medicaid Services
    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services.  CMS runs the Medicare and Medicaid programs and, with the Health Resources and Services Administration, runs the State Children's Health Insurance Program (SCHIP).

    Note that the Health Care Financing Administration (HCFA) was renamed Centers for Medicare & Medicaid Services (CMS) on June 14, 2001.
  • HealthCare.gov is an easy-to-use and comprehensive new government website that helps Americans make informed decisions about healthcare coverage and offers information about new benefits and protections for individuals, families and employers.
  • Bureau of TennCare
    The Bureau of TennCare is responsible for the administration of the TennCare and TennCare Partners programs, a managed care system that provides health care benefits including mental health and substance abuse services.
  • Cover Tennessee
    Cover Tennessee is a combination of four different programs:
    • AccessTN which provides comprehensive health coverage to seriously ill uninsurable adults
    • CoverTN which provides basic health insurance coverage for small business owners and self-employed individuals
    • CoverKids which provides comprehensive health care to uninsured children and maternity care to uninsured pregnant women
    • CoverRx which provides prescription drug assistance to those who have no prescription drug coverage.
    These plans are in addition to TennCare and Medicare.
  • State Children's Health Insurance Program (SCHIP)
    The Balanced Budget Act of 1997 established the State Children’s Health Insurance Program (SCHIP).  This site provides an overview of the basic SCHIP requirements regarding program structure, eligibility standards, benefits packages, administration, cost sharing, funding, and state maintenance of effort.