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DAY FORTY-SIX: The Numbers
The Human Cost of the TennCare Changes effective Aug. 1
 No pharmacy benefit
191,000 – Adults in TennCare Standard. They received request for information forms, "brown forms," on June 6 and are losing TennCare coverage unless they qualify for Medicaid.
Five-prescription limit
379,000 – Adults who are Medicaid eligible and remaining on the TennCare program.
Unlimited pharmacy coverage
650,000 – Children; no children are affected by disenrollment or pharmacy changes.
32,400 – Institutionalized adults. Includes people in nursing homes, home and community-based programs and facilities for the mentally disabled.
97,000 – "Medically needy" adults. They received a 10-day extension from the state while it analyzes the court ruling that could save enough money to keep them on the program. The extension expires Monday.
A 30-day notice was mailed to all enrollees affected by the pharmacy changes.
Disenrollment:
107,000 – Adults have received termination notices as of Aug. 1. TennCare is mailing, on average, about 1,900 termination notices each business day. The notice provides 20 more days of coverage.
84,000 – Adults are being processed by the state Department of Human Services to see whether they qualify for Medicaid. They have not received termination notices yet.
191,000 – Maximum number of adults who could lose TennCare coverage if the 97,000 medically needy population remains covered.
288,000 – Maximum number of adults who could lose TennCare coverage if the 97,000 medically needy population is not covered.
46 - Days with no response from Phil Bredesen.
SOURCE: TennCare Bureau
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