Tennessee Medicaid Program Overview
Enrollment, funding, and managed care facts for Tennessee Medicaid.
Get Tennessee's Medicaid Fee Schedule →Enrollment
Tennessee Medicaid covered approximately 1.39-1.42M people. KFF's total monthly Medicaid & CHIP enrollment tracker gives 1,387,037 (May 2026); healthinsurance.org's state guide gives 1,419,653 (October 2025) -- close but not identical, different months. CMS's 2024 Medicaid Managed Care Enrollment report gives 1,526,625 (July 1, 2024), higher, consistent with the post-pandemic 'unwinding' redetermination decline continuing through 2025-2026.
Funding & federal match
Tennessee has not adopted ACA Medicaid expansion.
For FFY2026 (Oct 1, 2025 - Sep 30, 2026), Tennessee's Federal Medical Assistance Percentage (FMAP) is 64.16%.
Waivers
Tennessee operates Medicaid managed care under the TennCare III, a Section 1115 demonstration waiver. TennCare's umbrella Section 1115 demonstration, covering nearly the entire Tennessee Medicaid program under comprehensive managed care (MCOs handle physical health, behavioral health, and MLTSS). Approved by CMS January 8, 2021 for an unusually long 10-year period through December 31, 2030, built around an aggregate spending-cap/shared-savings financing model (not a per-capita block grant). Numerous amendments since approval, including 2024 additions such as coverage of diapers for members under age 2.
Has Tennessee expanded Medicaid under the ACA?
No. Tennessee has not adopted full Medicaid expansion under the Affordable Care Act as of 2026.
How many people are enrolled in Tennessee Medicaid?
Approximately 1.39-1.42M people.
What percentage of the federal Medicaid match does Tennessee receive?
64.16% for FFY2026 (Oct 1, 2025 - Sep 30, 2026) — meaning the federal government pays roughly 64 cents of every Tennessee Medicaid dollar, and the state pays the rest.
What Medicaid waivers does Tennessee operate under?
TennCare III, a Section 1115 demonstration waiver. TennCare's umbrella Section 1115 demonstration, covering nearly the entire Tennessee Medicaid program under comprehensive managed care (MCOs handle physical health, behavioral health, and MLTSS). Approved by CMS January 8, 2021 for an unusually long 10-year period through December 31, 2030, built around an aggregate spending-cap/shared-savings financing model (not a per-capita block grant). Numerous amendments since approval, including 2024 additions such as coverage of diapers for members under age 2.
Get Tennessee's Free Medicaid Fee Schedule
Request actual Tennessee Medicaid reimbursement rates by billing code — free, delivered as a CSV.
Sources
- KFF State Health Facts - Total Monthly Medicaid & CHIP Enrollment
- healthinsurance.org - Medicaid eligibility and enrollment in Tennessee
- CMS - Medicaid Managed Care Enrollment and Program Characteristics, 2024
- Federal Register / GovInfo - FY2026 FMAP Notice (89 FR 94742)
- Congressional Research Service - Medicaid's Federal Medical Assistance Percentage (FMAP), Report R43847 (Table, FY2021-FY2026)
- KFF State Health Facts - State Activity Around Expanding Medicaid Under the ACA
- CMS Newsroom - CMS Approves Innovative Tennessee Aggregate Cap Demonstration
- Tennessee.gov - TennCare 1115 Demonstration
Data last verified 2026-09-17. Also see our free Medicaid Fee Schedule tool.