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How do I fill this out?
To fill out the renewal form, first review the information provided about your household. Make necessary corrections and complete any required sections. Finally, return the completed form by the specified deadline.
How to fill out the Tennessee TennCare Renewal Instructions?
1
Review your household information carefully.
2
Make any necessary corrections or updates.
3
Fill out all required sections of the form.
4
Attach any additional information if needed.
5
Submit the completed form by the due date.
Who needs the Tennessee TennCare Renewal Instructions?
1
Current TennCare recipients who need to renew their coverage.
2
Families with children in CoverKids who must verify eligibility.
3
Individuals on Medicare QMB/SLMB seeking continued coverage.
4
People with changes in household that may affect eligibility.
5
Caregivers needing to report status changes for their dependents.
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1
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Select the text or fields you wish to edit.
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Make the necessary changes using the editing tools.
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5
Download the finalized document for submission.
What are the instructions for submitting this form?
To submit the renewal form, mail it to the Division of TennCare at P.O. Box 305240, Nashville, TN 37230-5240. Ensure your submission is postmarked by June 1, 2024. If you prefer, you can also contact TennCare Connect at 855-259-0701 for guidance on electronic submission processes.
What are the important dates for this form in 2024 and 2025?
Important dates for TennCare renewal include June 1, 2024, which is the deadline for submission. Timely submission ensures that there will be no break in coverage. Always check for additional updates or changes to the process.
What is the purpose of this form?
The purpose of this form is to ensure that individuals receiving TennCare, CoverKids, or Medicare QMB/SLMB have their eligibility reassessed annually. It helps verify that the information on file is current and accurate, reflecting any changes in household status. Completing this form is vital to maintain continuous coverage and access to necessary medical services.
Tell me about this form and its components and fields line-by-line.
- 1. Person ID: Unique identifier for individuals in the household.
- 2. Household Information: Details about everyone living in the household.
- 3. Coverage Type: Indicates whether the coverage is TennCare, CoverKids, or Medicare.
What happens if I fail to submit this form?
If you fail to submit this form, your TennCare coverage may be terminated. It's crucial to ensure that this form is completed and sent back by the due date to avoid any gaps in coverage.
- Lapse in Coverage: Failing to submit on time can result in interruption of services.
- Ineligibility: Your benefits may be discontinued if you do not renew.
- Delayed Access to Health Services: You may face delays in receiving vital medical assistance.
How do I know when to use this form?
- 1. Annual Renewal: Required each year for maintaining eligibility.
- 2. Change of Household: Use this form to report changes in your living situation.
- 3. Eligibility Verification: Necessary for checking continued qualification for benefits.
Frequently Asked Questions
How do I fill out the renewal packet?
Carefully review the information and complete any missing sections.
Where do I submit the completed form?
You can submit your form via mail to the address provided in the instruction section.
Can I edit the PDF on PrintFriendly?
Yes, PrintFriendly allows you to edit the PDF before downloading.
What if my information has changed?
Be sure to update any information regarding your household in the form.
How can I check my submission status?
You should contact TennCare Connect for status inquiries.
Is there a deadline for submission?
Yes, your renewal form must be submitted by June 1, 2024.
What happens if I don’t submit the form on time?
Failure to submit may result in a lapse of coverage.
Can I print the form directly?
Yes, you can print the PDF after editing it on PrintFriendly.
What should I do if I need help?
Call TennCare Connect at 855-259-0701 for assistance.
How often do I need to renew my coverage?
You must renew your coverage annually.
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