TennCare is Tennessee's managed care Medicaid program that provides health insurance coverage to certain groups of low-income individuals such as pregnant women, children, caretaker relatives of young children, older adults, and adults with physical disabilities. TennCare provides coverage for approximately 1.5 million Tennesseans and operates with an annual budget of approximately $14 billion. It is run by the Division of TennCare with oversight and some funding from the Centers for Medicare and Medicaid Services (CMS). General Information Director of TennCare, Stephen Smith heads the agency with a workforce of about 1,200. TennCare serves members in all 95 Tennessee counties. Mission "Improving lives through high-quality cost-effective care." Vision "A healthier Tennessee."