Medicaid entitlement for 52 - FY 2026 - T19

The Department of Health and Human Services Centers for Medicare and Medicaid Services awarded the Tennessee Department of Finance and Administration, operating as the Tenncare Bureau Office, $36.412 billion on October 1, 2025, under the Grants to States for Medicaid program (CFDA 93.778). The award runs through September 30, 2026, and funds payments for medical assistance on behalf of cash assistance recipients, children, pregnant women, the aged, and other categorically eligible groups, including medically needy persons who meet income and resource requirements in participating states. The award covers medical assistance payments in Tennessee.

The Tenncare Bureau Office distributes funds to sub-recipients delivering specialized healthcare initiatives and support services. Vanderbilt University Medical Center operates the High-Risk Perinatal Program. Multiple regional development districts—East Tennessee Human Resource Agency, First Tennessee Development District, Upper Cumberland Development District, Northwest Tennessee Development District, Southwest Tennessee Development District, Greater Nashville Regional Council, South Central Tennessee Development District, and Southeast Tennessee Development District—serve as Single Points of Entry (SPOE) to Medicaid-reimbursed long-term services and supports for elderly persons and adults age 21 and older with physical disabilities. The Tennessee Department of Health administers Women's and Child Health Improvement and Mortality Reduction Initiatives. The Arc of Tennessee provides decision-making support system transformation. Tennessee Community Services Agency operates a call center for TennCare providers and enrollees. University of Tennessee Medical Center, Mountain States Health Alliance, Erlanger Health, and University of Tennessee Health Science Center deliver high-risk perinatal programs. University of Tennessee at Martin conducts satisfaction survey services. Tennessee Rural Health Recruitment and Retention Center manages a recruitment and retention program. Family & Children's Services delivers statewide advocacy and outreach services for TennCare applicants and members as of November 18, 2025. Programs of All-Inclusive Care for the Elderly (PACE) awards were issued to sub-recipients on July 1, 2026.