Are your kids insured? Parents in Tennessee might want to double-check.

Over the last two years, at least 128,000 kids have been removed from Medicaid coverage through TennCare or CoverKids, many without their parents’ knowledge.

“What we are seeing now is massive numbers of people being dropped off the rolls with no notification, and they don’t find out until they have a reason to use their insurance,” said one healthcare professional. “They are forced to determine what the health of their child is worth to them and if they can delay whatever attention they need until they get — if they can get — their insurance back.”

One in every eight children in TennCare was disenrolled. If this was the result of an improving economy, officials argue, those kids would transition to CoverKids — they haven’t. In fact, 39% of CoverKids recipients have been disenrolled.

Tens of thousands of those kids remain uninsured.