Tennessee

Integrated Care Activities

  • Financial Alignment Demonstration: No
    Dual Eligible Special Needs Plan Contracting: Yes
    Medicaid Managed Long-Term Services: Yes
    Approved Medicaid Health Home: Yes
    Program of All-Inclusive Care for the Elderly (PACE): Yes

Related Resources

  • Other Resource

    State and County Data File, 2012

    The most recent demographic, enrollment, and expenditure data for dually eligible beneficiaries is in the zip file "State and County Data File 2012" found on the Medicare-Medicaid Coordination Office website. Additional data and statistical resources for the years 2007, 2008, 2009, and 2011 can be found in the Medicare-Medicaid Enrollee State Profiles. See also Defining Medicare-Medicaid Enrollees in CMS Data Sources. (Centers for Medicare & Medicaid Services)
    Topic: Data for Medicare-Medicaid Integration
  • Brief

    Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care Transitions: State Options and Considerations

    This brief examines the approaches used by three states – Oregon, Pennsylvania, and Tennessee – to develop and implement information-sharing processes for their Dual Eligible Special Needs Plans (D-SNPs) that support care transitions. The brief includes examples of contract language and strategies to encourage plan collaboration and problem solving around information sharing. It can help states, D-SNPs, and other stakeholders assess how to meet the new D-SNP contracting requirements and improve the care of dually eligible individuals. (Integrated Care Resource Center)
    Topic: Dual Eligible Special Needs Plans (D-SNPs), State Contracting Strategies
  • Technical Assistance Tool

    State Options and Considerations for Sharing Medicaid Enrollment and Service Use Information with D-SNPs

    New federal rules released in April 2019 require that Dual Eligible Special Needs Plans (D-SNPs) must, at a minimum, coordinate the delivery of Medicare and Medicaid benefits. The final rule includes new regulatory language effective January 1, 2020 and provides examples of ways that D-SNPs should coordinate their members’ Medicare and Medicaid services. This technical assistance brief discusses issues and options for states to support D-SNPs in meeting this requirement. (Integrated Care Resource Center)
    Topic: Dual Eligible Special Needs Plans (D-SNPs), State Contracting Strategies
  • Other Resource

    Integrating Physical and Behavioral Health -- An Exploration of State Options

    This presentation explores options for integrating physical and behavioral health services within coordinated delivery systems and how three states - Arizona, Tennessee, and Vermont - are approaching integration from different vantage points. (Center for Health Care Strategies)
    Topic: Behavioral Health
  • Brief

    Moving Toward Value-Based Payment for Medicaid Behavioral Health Services

    This brief describes how innovative states and Medicaid managed care organizations are building on models developed for physical health services and incorporating value-based purchasing arrangements into behavioral health programs. (Center for Health Care Strategies)
    Topic: Behavioral Health
  • Other Resource

    Toward a More Perfect Union: Creating Synergy Between the Money Follows the Person and Managed Long-Term Services and Supports Programs

    This report examines how five states have structured the interface between MFP demonstration grants and Managed long-term services and supports (MLTSS) programs to promote transitions from institutional care to home- and community-based settings. (Mathematica Policy Research)
    Topic: Background on Long-Term Services and Supports
  • Other Resource

    Ready, Set, Go! The Readiness Review Process for Care Coordination and Provider Network Adequacy in Five States

    This report spotlights the approaches used by five states - Arizona, Minnesota, Tennessee, Texas, and Wisconsin - to ensure managed care organizations are ready to provide care coordination services to consumers and adequate access to needed long-term services and supports providers. (AARP Public Policy Institute)
    Topic: Oversight and Monitoring, Provider Network Adequacy
  • Brief

    Integrating Behavioral and Physical Health for Medicare-Medicaid Enrollees: Lessons for States Working With Managed Care Delivery Systems

    This brief explores the experience of six states that have achieved varying levels of behavioral health and physical health integration or collaboration for dually eligible beneficiaries within a managed care environment. It describes: (1) opportunities for explicit state action and requirements to push development of integration components; and (2) opportunities for states to signal the importance of integration elements while providing flexibility to allow plans to innovate. (Integrated Care Resource Center)
    Topic: Behavioral Health, Behavioral Health
  • Technical Assistance Tool

    State Contracting with Medicare Advantage Dual Eligible Special Needs Plans: Issues and Options

    This tool describes how 13 states used their contracts with D-SNPs to more effectively coordinate care and services for Medicare-Medicaid beneficiaries. (Integrated Care Resource Center)
    Topic: State Contracting Strategies, Oversight and Monitoring
  • Other Resource

    SNP Contract Between the State of Tennessee, Department of Finance and Administration Bureau of TennCare Division of Health Care Finance and Administration, Bureau of TennCare and _____

    (State of Tennessee), (Department of Finance and Administration Bureau of TennCare Division of Health Care Finance and Administration)
    Topic: State Contracting Strategies
  • Other Resource

    Tennessee 2019 D-SNP Contract

    TN Contract (TennCare)
    Topic: Dual Eligible Special Needs Plans (D-SNPs), State Contracting Strategies
  • Other Resource

    Tennessee Duals Coordination Quarterly Reporting Template

    This page hosts Tennessee’s template for the Duals Care Coordination Quarterly Report which is included in a footnote to the August 2019 ICRC Issue Brief on Promoting Information Sharing by Dual Eligible Special Needs Plans to Improve Care Transitions: State Options and Considerations. (TennCare)
    Topic: Dual Eligible Special Needs Plans (D-SNPs)

State Integration Activities

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