Call the Tennessee Justice Center for free help at 1-877-608-1009.
TennCare should send a letter that says you can’t get CHOICES. The letter should tell you how to appeal. An appeal tells the State that you think they made a mistake. The State will look at your case again when you appeal.
Sometimes, this fixes your problem. If not, you may get a hearing. At the hearing, you will get to tell a judge why you think TennCare made a mistake.
There are two types of appeals:
Medical or PAE appeal
What if the State says you cannot get CHOICES because you don’t meet the medical rules?
You can use this appeal form. You can also write a letter about your problem. If possible, you should use a fax machine to send your appeal. Save the page showing when you faxed it. If you can’t send a fax, you can send it by mail.
You can also file an appeal by phone. Call TennCare Division of Long-Term Services and Supports. Their phone number is 877-224-0219. Write down the time and date you called and the name of the person you talked to.
Financial appeal
What if the State says you cannot get CHOICES because your income is too high or there is a problem with your assets?
You can use this appeal form. (This is a different appeal form than what you use for a PAE appeal!) If possible, you should fax the appeal form. Save the page showing when you faxed it. If you can’t send a fax, you can send it by mail.
You can also file a financial appeal by phone. Call Tennessee Health Connection. Their phone number is 855-259-0701. Write down the time and date you called and the name of the person you talked to.