to TennCare participants. The initial five-year Medicaid waiver was eventually extended through July 1, 2002, when it was replaced by a new program waiver called "TennCare II" that was extended until June 30, 2010. Under TennCare II, program eligibility for "uninsured" and "uninsurables" was tightened. New applicants in the "uninsurable" category (now called "medically eligible") were required to have an income below a specified threshold and their ineligibility for standard insurance was required to be verified through a medical underwriting process. The total annual budget for TennCare increased from $2.64 billion in 1994 to more than $8.5 billion in fiscal year 2005, with essentially no change in the number of participants enrolled. After becoming governor in 2003, Phil Bredesen hired the consulting firm McKinsey & Company to evaluate the financial sustainability of TennCare and make recommendations for future actions. The McKinsey report, issued in late 2003, concluded that TennCare was not financially viable. A follow-up report in January 2004 identified options that ranged from returning to the original Medicaid program to setting limits on enrollment and benefits. In response to these reports and to stem the growth in costs, in 2005 the state implemented several program changes, including removing about 190,000 participants, imposing limits on the number of prescription medications each participant could receive, and reducing some other benefits. Services TennCare offers a variety of services for its members. A full list of these services can be found at https://www.tn.gov/tenncare.html. Some of the most commonly used services are TennCare for kids, long-term care for seniors, pharmacy benefits, COVID-19 testing, and Opioid strategy. There are other services offered but these are among the most common services. References External links Bureau of TennCare https://www.tn.gov/tenncare.html https://tenncareconnect.tn.gov/services/homepage Government of Tennessee Medicare and Medicaid (United States) Healthcare in Tennessee 1994 in Tennessee Medical and health organizations based in Tennessee Government agencies established in 1994