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What's New With TennCare

TennCare FY 2015 Budget

Click here for TennCare FY 2015 Budget Presentation.


Training Opportunity - The Impact of new Federal Regulations on Home and Community Based Service (HCBS) Providers

TennCare is hosting an important training opportunity regarding two new federal regulations that will impact home and community-based services (HCBS) providers. This includes HCBS providers in the CHOICES program, as well as providers in any of the state’s Section 1915(c) HCBS waivers for individuals with intellectual disabilities (i.e., the Arlington, Statewide and Self-Determination waivers). Please click here for the invitation which includes training session dates, times and locations. Registration to attend is required and can be submitted here.


Home and Community Based Services for Individuals with Intellectual and Developmental Disabilities:

TennCare and the Department of Intellectual & Developmental Disabilities (DIDD) have released a Concept Paper about the future of the state's Home and Community Based Services for people with intellectual and developmental disabilities. For a summary of key points in the Concept Paper for people currently receiving waiver services, click here. For a summary of key points in the Concept Paper for people waiting for services, click here. Community meetings about the Concept Paper were conducted across the state with consumers, their family members, providers and advocates.  To view the Consumer/Family presentation, click here. To view the Provider/Advocate presentation, click here. To view the Questions and Answers, click here. To view a summary of stakeholder input on the Concept Paper, click here.


Quality Improvement in Long Term Services and Supports

Quality Improvement in Long Term Services and Supports is a TennCare initiative to promote the delivery of high quality Long Term Services and Supports for TennCare members.  It will improve the quality of Nursing Facility services as well as Home and Community Based Services.  TennCare intends to create a new payment system (aligning payment with quality) for Nursing Facilities and certain Home and Community Based Services based on performance on those measures. Read more


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 9 billion dollars. For further details about the program, you can view a TennCare 101 Presentation or continue reading the TennCare overview here.

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Increased Medicaid Payment for Primary Care

Effective January 1, 2013, qualified Primary Care Physicians as detailed by CMS regulation are to receive a rate increase effective until 12/31/14. This rate increase is also referred to as the “PCP Bump”. This rate increase also includes payments for services furnished by Primary Care Physicians under the Vaccines for Children program. Payments to Primary Care Physicians are being made to designated providers for current claims from the Managed Care Contractors. Managed Care Organizations are also beginning the process of making retroactive rate adjustments for qualified providers. Increased payment for physician crossover services from TennCare will begin once required system changes are complete. Physician crossover payments related to these rate increases are currently targeted for January 2014 and will include retroactive payments for eligible providers for eligible services back to January 2013. more...

New Website for Families:

As a participating member of the Governor’s Children’s Cabinet, the Division of Health Care Finance and Administration is proud to support the launch of 

This new website provides information on health, education, development and support to Tennessee families, as well as a searchable State Services Directory. Families will also be able to create their own private profiles on the kidcentral tn site, which will allow them to receive information that matters to the specific needs of their families.

In alignment with the TENNderCARE program, kidcentral tn reinforces the department’s goal to promote good health in children from birth until age 21.

Visit to explore the site and share it with the Tennessee families you serve every day.


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