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3. How many members are expected to lose coverage during the unwinding period?
A: TennCare projects enrollment will return to pre-pandemic levels - 1.4 million
members - once the unwinding period ends. This is an estimate, however, and we will not
know for sure until we are able to review the current circumstances of all members who
are interested in retaining their TennCare coverage.
4. How will the renewal process during the unwinding period be different from the
renewal process that existed in 2018?
A: The TennCare renewal process is quite different now compared to 2018 due to the
TEDS eligibility system that was implemented in 2019 and due to some one-time waivers
from CMS that will allow for simplified processes during the unwinding period.
TennCare now has a centralized computer system and document repository that
can run automated eligibility rules for all TennCare categories. This system is also capable
of making real time decisions based on renewal information submitted by members. The
online self-service portal, TennCare Connect, allows members to complete the renewal
process at home, 24 hours a day. Members can access their upcoming renewal dates and
notices and can see the documents they submit via TennCare Connect. Members will also
be able to renew coverage over the phone, which was not available in 2018.
Due to the unprecedented length of the renewal pause across the country, CMS has
allowed for several one-time process changes to enhance the experience for Medicaid
recipients. Prior to mailing pre-populated renewal packets, TennCare will attempt to
reapprove coverage using data available to the agency. In addition to the regular
interfaces used in this process, such as Internal Revenue Service tax data, Social Security
data, state wage information, and unemployment, TennCare will also be able to use
Supplemental Nutrition Assistance Program enrollment data to determine that certain
members are under the relevant income limit at the time of renewal. In addition, TennCare
has received approval from CMS to implement additional strategies during the unwinding
to maximize our ex parte renewals. This includes accepting previously verified $0 income if
there is no data source contradicting that amount and using previously verified resource
amounts that were verified by the Asset Verification System. Anyone auto renewed will not
be asked to complete a renewal packet or submit verification documents.
For members who cannot be reapproved through an ex parte or auto renewal process, a
case-based, prepopulated renewal form will be mailed to each family. If the family has
created a TennCare Connect account and chosen to receive notifications via email or text,
an electronic notification will also be sent letting the family know to log in to TennCare
Connect and review their notice.