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TennCare Awards Dental Benefits Manager Contract to DentaQuest

Wednesday, May 08, 2013 | 11:36 am
Bureau and new benefits manager expect smooth transition for members
  
NASHVILLE – The Bureau of TennCare has selected DentaQuest USA Insurance Company as the new Dental Benefits Manager (DBM) for the state Medicaid program.  The three-year contract was awarded on Wednesday, April 24, 2013, signaling the start of a five-month readiness period.  The transition from TennDent, TennCare’s current DBM, to DentaQuest will take effect October 1, 2013.      

TennCare

State Readies for Sixth Round of Standard Spend Down Open Enrollment

Thursday, March 07, 2013 | 11:47 am

Phone Lines Will Open 6 P.M. CST March 21

NASHVILLE – The TennCare Standard Spend Down program will again offer open enrollment opportunities to new applicants on Thursday, March 21, 2013 beginning at 6 p.m. CST.
 
Standard Spend Down is available through a waiver to the Medicaid program for a limited number of qualified low-income individuals, or those with high, unpaid medical bills who are aged, blind, disabled, or the caretaker relative of a Medicaid eligible child. Eligible individuals must have enough unpaid medical bills to meet the “spend down” threshold to qualify for coverage.

TennCare

TennCare Awards Pharmacy Benefits Manager Contract to Magellan Health Services

Thursday, January 10, 2013 | 02:34 pm
Both partners working to ensure a smooth transition for members and providers  
 
NASHVILLE – The Bureau of TennCare has selected Magellan Health Services as the new Pharmacy Benefits Manager (PBM) for the state Medicaid program.  The three-year, $35 million contract was awarded in December 2012, signaling the start of six months of extensive preparation and readiness reviews.  The transition from Catamaran, TennCare’s current PBM, to Magellan will take effect June 1, 2013.    

TennCare

TennCare Releases 2012 HEDIS/CAHPS Report

Thursday, January 03, 2013 | 03:48 pm

The state Medicaid program continues to see
improvements from Managed Care Organizations

 
NASHVILLE — The Bureau of TennCare today announced the results of the 2012 HEDIS/CAHPS Report: A Comparative Analysis of Audited Results from TennCare Managed Care Organizations (MCOs).  MCOs in Tennessee are required to report Healthcare Effectiveness Data and Information Set (HEDIS) data as part of the state’s accreditation mandate.  The information included in this report is for the previous calendar year.  

TennCare

TennCare Joins the Catalyst for Payment Reform

Wednesday, December 19, 2012 | 04:29 pm
Health care purchasers look towards ways to improve quality and reduce costs
 
NASHVILLE – The Bureau of TennCare announced today its decision to join Catalyst for Payment Reform (CPR).  CPR is a national independent organization led by large purchasers of health insurance with active involvement of providers, health plans, consumers and labor groups working to improve health care quality and reduce costs by identifying and coordinating workable solutions to improve how health care is paid for in the U.S.

Health Care, TennCare

Haslam Announces State Will Not Run Health-Care Exchange

Monday, December 10, 2012 | 02:00 pm

Decision on Affordable Care Act made after thoughtful consideration

NASHVILLE – Tennessee Gov. Bill Haslam announced Monday the state will not operate a state-based healthcare exchange under the federal Affordable Care Act. Haslam made the following statement on the issue:

“Tennessee faces a decision this week about health insurance exchanges created by the Affordable Care Act.

“I'm not a fan of the law.  The more I know, the more harmful I think it will be for small businesses and costly for state governments and the federal government.  It does nothing to address the cost of health care in our country.  It only expands a broken system.  That’s why I’ve opposed it from the beginning and had hoped we would be successful in court and at the ballot box this year.

Governor Haslam, Health, TennCare

Statewide Effort Addresses Problem of Babies Born Dependent on Addictive Drugs

Tuesday, November 27, 2012 | 03:02 pm

NASHVILLE – Weighing in at just over four pounds, one of the newest residents of Tennessee isn’t just premature, he’s dependent on addictive drugs. Within a few hours of the delivery, hospital staff members knew by his seizures, high-pitched cries, tremors, fever and vomiting this innocent baby was another tragic case of neonatal abstinence syndrome, a condition caused when an unborn child is exposed to powerful drugs used legally or illegally by a mother during pregnancy.

Children's Services, Health, Human Services, Mental Health & Substance Abuse Services, TennCare

State Readies For Fifth Round of Standard Spend Down

Monday, August 20, 2012 | 11:36 am

PHONE LINES WILL OPEN 6 P.M. CST SEPT. 13

  NASHVILLE – The TennCare Standard Spend Down program will again offer open enrollment opportunities to new applicants on Thursday, Sept. 13, 2012 beginning at 6 p.m. CST.

Standard Spend Down is available through a waiver to the Medicaid program for a limited number of qualified low-income individuals, or those with high, unpaid medical bills who are aged, blind, disabled, or the caretaker relative of a Medicaid eligible child. Eligible individuals must have enough unpaid medical bills to meet the “spend down” threshold to qualify for coverage.
TennCare

State Readies for Fourth Round of Standard Spend Down

Tuesday, February 07, 2012 | 03:36 pm

Phone Lines Will Open 6 P.M. CST Feb. 21

NASHVILLE – 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.

Standard Spend Down is available through a waiver to the Medicaid program for a limited number of qualified low income individuals, or those with high, unpaid medical bills who are aged, blind, disabled, or the caretaker relative of a Medicaid eligible child. Eligible individuals must have enough unpaid medical bills to meet the “spend down” threshold to qualify for coverage.

Health Care, TennCare