How Long Does TennCare Take to Approve in 2026?

Short answer: TennCare says an online application may sometimes produce an immediate eligibility result. Otherwise, an eligibility decision can take up to 45 days. If you are applying for long-term services and supports, TennCare says the process can take up to 90 days because medical eligibility must also be verified.

TennCare approval timeline at a glance

Application situationOfficial Tennessee guidance
Online TennCare applicationYou may find out immediately in some cases.
General eligibility decisionCan take up to 45 days.
Long-term services and supportsCan take up to 90 days because medical eligibility is also reviewed.

How can you check your TennCare application status?

TennCare says applicants can use the TennCare Connect account's Track My Submission feature. Statuses can include Submitted, Information Needed, Review in Progress, and Processed.

What usually delays a long-term care decision?

Long-term services and supports require both financial and medical eligibility review. Missing information, requests for additional documentation, or an incomplete medical-level-of-care review can extend the process.

What should you do while the application is pending?

  • Watch for TennCare requests for information.
  • Respond to document requests promptly.
  • Keep copies of submitted documents and confirmation numbers.
  • If the application involves CHOICES, coordinate with the AAAD or your TennCare health plan as applicable.

Frequently Asked Questions

Is this page official TennCare guidance about TennCare application timing?

No. This is an independent summary. Use TennCare's official website or TennCare Connect for eligibility decisions and current program rules.

What is CHOICES in Tennessee?

CHOICES is TennCare's long-term services and supports program for qualifying older adults and adults with physical disabilities. It includes nursing-facility services and qualifying home- and community-based services.

What is the 2026 long-term care income limit in Tennessee?

TennCare's CHOICES page states that financial eligibility for Medicaid long-term services and supports generally uses a $2,982 monthly income limit for 2026. Other eligibility categories can use different limits.

What is the resource limit for Medicaid long-term services and supports?

TennCare's CHOICES guidance states a $2,000 countable-resource limit for the individual, subject to program rules and exclusions.

Does a home always count as a Medicaid resource?

No. TennCare has a homestead exclusion subject to conditions, but a separate home-equity limit can apply to institutional long-term services and supports.

Does TennCare use a five-year look-back?

TennCare's CHOICES guidance states that an applicant cannot have given away or sold assets for less than fair value during the prior five years, subject to Medicaid transfer rules and exceptions.

Can income above the limit ever be handled differently?

TennCare states that an applicant over the long-term care income limit may be able to use a Qualifying Income Trust. Individual eligibility should be confirmed with TennCare.

How long can a TennCare eligibility decision take?

TennCare says an online application may sometimes produce an immediate decision, but a standard decision can take up to 45 days and long-term services and supports can take up to 90 days because medical eligibility must also be verified.

How do I apply for CHOICES if I do not already have TennCare?

TennCare directs people who do not have TennCare to contact their local Area Agency on Aging and Disability. The statewide number published by TennCare is 1-866-836-6678.

How do I apply if I already have TennCare?

TennCare says current members interested in CHOICES should contact their TennCare health plan using the number on their TennCare card.

Does Medicaid automatically pay the full assisted-living bill?

No. CHOICES can pay for qualifying long-term services and supports, but families should not assume that every assisted-living room, board, service, or fee is covered.

Where should I verify current Tennessee Medicaid rules?

Use TennCare's official CHOICES, Eligibility Reference Guide, application, and policy-manual pages. For an individual case, contact TennCare or an authorized program representative.

Last reviewed: October 15, 2026
Verification: This page summarizes current official Tennessee guidance. TennCare makes eligibility decisions. Program limits and procedures can change.