{
  "title": "TennCare and CoverKids income limits",
  "description": "Main MAGI eligibility groups for TennCare (Tennessee Medicaid) and CoverKids (CHIP). Limits are percentages of the federal poverty level; a 5-percentage-point income disregard applies in MAGI determinations. Only TennCare can make an eligibility decision.",
  "last_verified": "2026-10-17",
  "sources": [
    {
      "name": "TennCare Eligibility Reference Guide",
      "url": "https://www.tn.gov/tenncare"
    },
    {
      "name": "CoverKids eligibility",
      "url": "https://www.tn.gov/coverkids"
    }
  ],
  "data": {
    "medicaid_expansion": false,
    "groups": [
      {
        "group": "Infants under 1",
        "limit_fpl": 195,
        "effective_with_disregard": 200,
        "program": "TennCare"
      },
      {
        "group": "Children 1–5",
        "limit_fpl": 142,
        "effective_with_disregard": 147,
        "program": "TennCare"
      },
      {
        "group": "Children 6–18",
        "limit_fpl": 133,
        "effective_with_disregard": 138,
        "program": "TennCare"
      },
      {
        "group": "Children under 19 not eligible for TennCare",
        "limit_fpl": 250,
        "program": "CoverKids",
        "notes": "No monthly premium; must be the child's only coverage."
      },
      {
        "group": "Parents and caretaker relatives of children under 18",
        "limit_fpl": 100,
        "program": "TennCare"
      },
      {
        "group": "Pregnant women",
        "limit_fpl": 250,
        "program": "TennCare",
        "notes": "12 months postpartum; presumptive eligibility available."
      },
      {
        "group": "Pregnant women not eligible for TennCare",
        "limit_fpl": 250,
        "program": "CoverKids",
        "notes": "No immigration documents required."
      },
      {
        "group": "Former foster youth",
        "limit_fpl": null,
        "program": "TennCare",
        "notes": "Up to age 26."
      },
      {
        "group": "Adults 19–64 without dependent children, not disabled or pregnant",
        "limit_fpl": null,
        "program": "Generally not eligible (no Medicaid expansion)"
      }
    ],
    "apply": {
      "online": "https://tenncareconnect.tn.gov",
      "phone": "855-259-0701",
      "window": "year-round"
    }
  }
}