TennCare

TennCare Joins the Million Hearts Initiative

Wednesday, June 04, 2014 | 10:22 am

Striving to prevent 1 million heart attacks and strokes by 2017

NASHVILLE – The Bureau of TennCare announced today its partnership with the Million Hearts initiative.  Million Hearts was launched in 2011 by the federal Department of Health and Human Services to develop a public-private partnership with likeminded organizations to make an impact on heart disease in the United States.  Co-leaders of this initiative include the Centers for Disease Control and Prevention and Centers for Medicare & Medicaid Services

Tennessee Launches Additional Efforts in 2013 to Reduce the Number of Drug-Dependent Newborns

Tuesday, April 01, 2014 | 02:34 pm

NASHVILLE – In 2013, 921 newborns in Tennessee experienced withdrawal from drugs their mothers used while pregnant. Many people across Tennessee, including a group of state leaders, are working to reduce that number and in the past year launched several efforts to help prevent the suffering and expenses associated with the condition known as neonatal abstinence syndrome, or NAS.

TennCare Awards Contracts to Managed Care Organizations

Friday, December 27, 2013 | 02:19 pm
Nashville, Tenn. – The Bureau of TennCare awarded managed care contracts to AmeriGroup, BlueCare Tennessee and UnitedHealthcare.  The apparent winners of the three-year contracts with possible one-year extensions were announced on December 16, 2013.  Following a 10-day inspection period the contracts were officially awarded and signed on December 27, 2013, beginning a one-year transition period.  

TennCare Receives Commitment Award from The Tennessee Center for Performance Excellence

Friday, December 06, 2013 | 03:24 pm

Award Recognizes Organizational Excellence

NASHVILLE, Tenn. – The Bureau of TennCare has earned the Commitment Award in the annual Excellence in Tennessee recognition program administered by the Tennessee Center for Performance Excellence (TNCPE). TNCPE is the only state-wide quality program and is patterned on the Baldrige Performance Excellence Program, the national standard for recognizing organizational excellence.  TennCare will accept the award at the 21st annual Excellence in Tennessee Awards Banquet on February 19, 2014.

“It is truly an honor to receive this award. We appreciate the work TNCPE did during their assessment of TennCare and look forward to continuing to achieve operational excellence,” said TennCare Director Darin Gordon.

TennCare Satisfaction Remains High in 2013

Wednesday, December 04, 2013 | 09:33 am

KNOXVILLE, Tenn. – Overall enrollee satisfaction with the TennCare program is at its highest level, according to a UT report released today.

Ninety-five percent of TennCare recipients surveyed expressed satisfaction with the care they received, the highest level since the program’s inception.

TennCare Releases 2013 HEDIS/CAHPS Report

Wednesday, October 09, 2013 | 03:12 pm
The state Medicaid program continues to see improvements from Managed Care Organizations
 
NASHVILLE — The Bureau of TennCare today announced the results of the 2013 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) information as part of the state’s accreditation mandate.  The information included in this report is for the previous 2012 calendar year. 

Disturbing Milestone: 350th Drug-dependent Newborn in Tennessee This Year Starts Painful Withdrawal

Tuesday, June 25, 2013 | 02:34 pm

NASHVILLE – The Tennessee Department of Health this month recorded a troubling milestone:  For the 350th time this year, a baby was born in Tennessee dependent on powerful drugs taken during pregnancy. That baby has to endure the painful and often prolonged and very expensive process of withdrawal from addictive drugs.

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.      

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 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.