• TennCare Receives Federal Approval for Long-Term Care Community Choices Act

    Thursday, July 23, 2009 | 7:03am

    NASHVILLE - TennCare announced today federal officials have approved changes to Tennessee’s long-term care program, which brings the state one step closer to total implementation of the Long Term Care Community Choices Act of 2008. The Centers for Medicare and Medicaid Services (CMS) approved an amendment to the TennCare waiver that will allow managed care organizations to coordinate all of the care a TennCare member needs, which will now include medical, behavioral and long-term care.  

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  • Federal Court Grants State Relief from Long-Standing Court Order

    Thursday, January 08, 2009 | 10:42am

    State Will Be Able to Mitigate Budget Cuts

    NASHVILLE – The State of Tennessee today received relief from U.S. District Court, resolving a long-standing court order that will help minimize planned budget cuts in TennCare’s effort to meet its budget reductions for next year.  The court granted the state permission to check the eligibility of 150,000 TennCare members, some of whom may no longer be eligible for the program.  They are all members of a class of enrollees subject to a 21-year old court order known as Daniels. 

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  • State Seeks to Minimize TennCare Budget Cuts by Seeking Relief from 21-Year Old Court Order

    Wednesday, January 07, 2009 | 3:46am

    NASHVILLE - Facing mounting revenue shortfalls, the State of Tennessee today provided updated information to the U.S. District Court in Nashville concerning potential budget cuts that TennCare faces as a result of the deepening economic recession. The state is seeking relief from a long-running lawsuit known as Daniels that, if granted, could minimize the planned cuts that are needed to help balance the state’s budget.

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  • TennCare Expansion in Home and Community Based Services Approved by Feds

    Wednesday, September 17, 2008 | 10:31am

    NASHVILLE – TennCare announced today the approval of a planned expansion of home and community services. The federal government recently approved an expansion that will allow TennCare to serve 2.300 more people in its Home and Community Based Services (HCBS) program for the elderly and adults with physical disabilities. With the expansion, TennCare will provide these services to 6,000 individuals this year. The funds for the expansion were approved by the General Assembly in the state budget that passed in May.

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  • TennCare Awards Pharmacy Benefits Manager Contract to SXC Through Competitive Bid Process

    Friday, April 25, 2008 | 10:00am

    NASHVILLE – Through a competitive bid process, SXC Health Solutions Corp. has been awarded the Pharmacy Benefits Manager (PBM) contract with the Bureau of TennCare. The three-year, $35 million contract begins October 1, 2008. Two other PBM organizations, First Health and ACS, also submitted bids.

    “In recent years, efficient management of our pharmacy benefit has resulted in savings of more than $1 billion of taxpayer funds,” said TennCare Director Darin Gordon. “We look forward to building on such successes, as we work with SXC.”

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  • TennCare Awards Full-Financial Risk Managed Care Contracts in East and West Regions

    Tuesday, April 22, 2008 | 9:51am

    NASHVILLE — The TennCare Bureau announced today that BlueCross BlueShield of Tennessee (BCBST) and UnitedHealth Plan of River Valley, Inc. (United) are the prevailing bidders in both the East and West grand regions of the state for TennCare’s managed care organization (MCO) contracts. TennCare placed the managed care contracts up for competitive bid in January 2008. The Middle region’s competitive bid process was completed last year.

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