For Families

If you are pregnant, or a parent or caregiver of a young child and are interested in receiving services through the CHANT care coordination program, please contact your Regional or Metro Health Department.


  • Links patients and families with resources to facilitate referrals and respond to medical and social service needs,
  • Communicates care plans and goals and proactively track patients as they go to and from clinical care to communities, and
  • Identifies and refers  eligible high-risk patients to available EBHV Programs


Advancing Health Equity: A Guide to Language, Narrative and Concepts (PDF) refers to social determinants of health (or SDOH) as the underlying community-wide social, economic and physical conditions in which people are born, grow, live, work and age.  Social determinants of health are not experienced equally by people and are often inextricably linked to each other. For example, education and access to transportation can impact employment opportunities, and one’s neighborhood location can impact access to healthy food options. These determinants and their unequal distribution according to social position result in differences in health status between population groups that are avoidable and unfair. The profound impact of SDOH can persist across generations and drive health inequity based on race, ethnicity, and socioeconomic status.  The CHANT Screening and Assessment screens families for these underlying contributors to multiple social and socio-economic conditions of their homes and communities.


Each member of the family unit is screened for the following:

  • Social services needs
  • Mental /behavioral health risk
  • Child health and development milestones
  • Special health care needs
  • Medical risk
  • Health insurance
  • Medical and dental services



Families trigger Pathways based on the Screening and Assessment results. Care Coordinators educate, refer and follow-up on resources and services and assist families to navigate the Pathways.  Families will remain on pathways until all action steps are complete or at the point where families disengage with care coordination.  The pathways of care include the following:

  • Behavioral Health
  • Child Health and Development Education
  • Children and Youth with Special Health  Care Needs (CYSHCN)
  • Dental Home/Referral
  • Developmental Screening/ Referral
  • Employment
  • Family Planning
  • Health Insurance
  • Housing
  • Immunization Screening/ Referral
  • Maternal Loss
  • Medical Home/Referral
  • Pregnancy/ Postpartum
  • Perinatal Loss
  • Smoking Cessation
  • Social Service Referral
  • Transition of CYSHCN 14+ yrs.


TennCare is the state of Tennessee’s managed Medicaid agency. The program serves more than 1.7 million Tennesseans including low-income individuals such as pregnant women, children, caretaker relatives of young children and older adults and adults with disabilities. TennCare’s mission is to improve lives through high-quality, cost-effective care to support the vision of a healthier Tennessee. 

To apply for TennCare go to or call 855-259-0701