What's New With TennCare
State Readies for Fourth Round of Standard Spend Down
The TennCare Standard Spend Down program will again offer open enrollment opportunities to new applicants on Tuesday, Feb. 21, 2012 beginning at 6 p.m. CST. Click here to view the release or here for detailed SSD program eligibility information.
TennCare Managed Care Organizations Show Continued Improvement in 2011 Report
The Bureau of TennCare today announced the results of the 2011 HEDIS/CAHPS Report: A Comparative Analysis of Audited Results from TennCare Managed Care Organizations (MCOs). Once again, the state performed well in the area of child health, with statewide weighted average scores exceeding the 2010 national Medicaid average ...more.
TennCare FY 2013 Budget
Click here for TennCare FY 2013 Proposed Budget Presentation.
What is TennCare?
TennCare is the State of Tennessee's Medicaid program that provides health care for 1.2 million Tennesseans and operates with an annual budget of approximately 8 billion dollars. For further details about the program, you can view a TennCare 101 Presentation or continue reading the TennCare overview here.
National Health Reform and Medicaid
On March 23rd, 2010, the President signed the Affordable Care Act into law. This act will reform national health care and change many aspects of health care including Medicaid programs like TennCare. For information on how TennCare will be affected click here.
...More TennCare News
Public Notice
TennCare Proposes Amendment 13
TennCare has recently submitted Amendment 13 to the TennCare waiver. The purpose of Amendment 13 is to enable the State to open up more spaces in the home and community-based portion of the CHOICES program, effective April 1, 2012. Opening up these spaces will permit individuals who require long-term care to continue to have their choice of Nursing Facility care or cost-effective home and community-based care. Without these new spaces, the only choice for new applicants will be Nursing Facility care. For more information, see the public notice.
TennCare Proposes Amendment 14
TennCare is planning to submit two amendments to the TennCare demonstration. Both amendments have a proposed effective date of July 1, 2012.
The first one, Amendment #14, will enable the State to move forward in establishing a new group of people who will receive home and community based services (HCBS) in the CHOICES program, which is the State's program of long-term services and supports for persons who are aged and physically disabled. The new group, called "CHOICES 3," has not previously been open but is intended for persons who are "at risk" for institutional care. For more information, see the public notice.
TennCare Proposes Amendment 15
The second one, Amendment #15, lists the program reductions that would be required if the hospital assessment fee is not renewed for the 2012-2013 State Fiscal Year. This one-year fee has been authorized twice, in 2010 and again in 2011, and if it is authorized again, these program reductions will not be needed. For more information, see the public notice.
Please email Susie Baird for more information.
The TennCare/Medicaid Provider Incentive Program
to Encourage Electronic Health Record Adoption
Medicaid agencies like TennCare will be administering the distribution of federally-funded incentive payments to qualifying providers and hospitals that adopt federally-certified electronic health record systems. For more information about the TennCare/Medicaid Provider Incentive Program please click here.
TennCare's Recent Reports
- FY 2013 Proposed Budget (pdf, 776kb)
- Enrollment Data
- Eligibility Reference Guide (pdf, 269kb)
