TennCare

TennCare Officials Move Quickly to Correct Problem Created by Mailing Error

File Submission Error Affects a Limited Number of Enrollees 
 
NASHVILLE – An incorrect electronic file submission sent to TennCare’s system caused information for some enrollees to be sent to incorrect addresses statewide. Approximately 3,900 enrollees were affected when letters and cards that contained one or more pieces of personal information were sent to incorrect addresses. The error was the result of a modification to the system that pulls addresses into an electronic file for TennCare. An error caused by the system modification corrupted the file.
 

Bureau of TennCare Staff Receive Tennessee Association of Mental Health Organizations’ 2009 President’s Award

NASHVILLE - The Tennessee Association of Mental Health Organizations (TAMHO) recently presented TennCare staff with the President’s Award, which is given at the discretion of the TAMHO President, during the TAMHO 2009 Annual Awards and Recognition Ceremony in Nashville, Tenn.

TennCare Managed Care Organizations Receive High Marks in Behavioral Health

NASHVILLE — The Bureau of TennCare today announced the results of the 2009 HEDIS/CAHPS Report: A Comparative Analysis of Audited Results from TennCare Managed Care Organizations (MCOs). The report shows that TennCare’s Middle Tennessee MCOs performed above – and in many cases significantly exceeded – the 2008 national Medicaid average for measures related to behavioral health as well as drug and alcohol dependence treatment.

TennCare Completes Statewide Medical and Behavioral Health Integration

NASHVILLE — The Bureau of TennCare announced today that BlueCross BlueShield of Tennessee (BCBST) will take over behavioral health care for enrollees receiving services through TennCare Select. This transition to using a single managed care entity to provide all of the care an enrollee needs, including physical and behavioral health coverage, marks TennCare’s completion of the shift to a fully-integrated service delivery model.

Satisfaction with TennCare Remains High

KNOXVILLE – The Center for Business and Economic Research at the University of Tennessee, Knoxville today released the findings from its study, “The Impact of TennCare: A Survey of Recipients 2009.” The results show TennCare continues to earn high marks from those who receive its services – with enrollees reporting quality ratings that are the highest since the program’s inception in 1994.

Click here to view the complete release from the Center for Business and Economic Research at UT Knoxville.

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

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.  

Federal Court Grants State Relief from Long-Standing Court Order

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. 

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

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.

TennCare Expansion in Home and Community Based Services Approved by Feds

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.

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

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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