Tag: Tennessee
AAH state update: Tennessee, Ohio, Illinois, Rhode Island
April 4, 2022HME News Staff
The Tennessee Senate has passed SB 2134, legislation to strengthen access to complex rehab technology. It would prohibit insurers from considering the location where CRT products will be used when making a medical necessity determination; require insurers to offer a prior authorization process for coverage determinations; and require insurers to pay 100% of benefits approved in a prior authorization issued by a plan. The legislation now heads to the Tennessee House for consideration. A companion...
CMS approves block grant waiver in Tennessee
January 14, 2021HME News Staff
NASHVILLE, Tenn. – CMS has approved Tennessee’s request for a block grant waiver for its state Medicaid program, TennCare, AAHomecare reports. The new program will allow TennCare to administer Medicaid with less oversight from the federal government, increasing its flexibility. The new block grant waiver – known as TennCare III – came after the General Assembly passed a law in 2019 directing Gov. Bill Lee’s administration to negotiate...
Tenn. CRT bill heads to governor's desk
March 19, 2019HME News Staff
NASHVILLE, Tenn. - The Tennessee State Legislature has enacted legislation to create a “separate benefit” category for complex rehab technology.HB 647, which is headed to Gov. Bill Lee to sign, will ensure that CRT products receive separate consideration when state Medicaid authorities propose adjustments to reimbursement rates or other regulatory changes.“CRT products are designed to meet the unique needs of individuals with disabilities and profound healthcare challenges, supporting...
Legislature in Tennessee recognizes complex rehab
March 12, 2019HME News Staff
NASHVILLE, Tenn. - The Tennessee General Assembly has passed a bill that recognizes complex rehab as a separate benefit category. The state's House of Representatives passed H.B. 0647 94-0 on March 7, then the Senate substituted that bill with S.B. 0632 and passed it 30-0 on March 11. The bill requires the commissioner, under the Long-Term Care Community Choices Act, to recognize complex rehabilitation technology as a separate benefit category for the purposes of any proposed budget or other public...
CMS decision on Tennessee sets precedent
June 21, 2013Elizabeth Deprey
WASHINGTON - It was a big win in the HME industry's fight against competitive bidding when CMS disqualified one-third of the contract suppliers for Tennessee, but that's not the only state with licensure issues, stakeholders point out.
“It establishes a precedent that CMS is going to have to deal with,” said Andrea Stark, a reimbursement consultant with MiraVista. “I see it as a domino falling, the beginning of a chain reaction.”
CMS last week sent letters to...