TennCare is the state Medicaid program in Tennessee that provides healthcare to approximately 1.7 million Tennesseans. It was established in 1994 under a federal waiver that authorized deviations from the standard Medicaid rules. TennCare is an integrated, full-risk, managed care program that operates under a Section 1115 waiver from the Centers for Medicare and Medicaid Services (CMS) in the United States Department of Health and Human Services. Unlike traditional fee-for-service Medicaid, TennCare services are offered through managed care entities. TennCare members are primarily low-income pregnant women, children, and individuals who are elderly or have a disability. TennCare covers approximately 23 percent of the state’s population, 50 percent of the state’s births, and 53 percent of the state’s children. TennCare offers a variety of services for its members, including TennCare for kids, long-term care for seniors, pharmacy benefits, COVID-19 testing, and Opioid strategy. To be eligible for TennCare, individuals must meet income and resource limits, which vary depending on the group they belong to. TennCare is one of the oldest Medicaid managed care programs in the country.