Tennessee’s New “Medically Necessary” Standard: Uncovering the Insured?
Tennessee's New “Medically Necessary” Standard: Uncovering the Insured?
This policy brief describes a new standard passed by Tennessee’s legislature for determining whether an item or service is “medically necessary” under the state’s Medicaid program, TennCare. The brief concludes with some questions regarding the implications of the new standard for the populations that Medicaid covers nationally, especially low-income children under age 21, individuals with disabilities, and the elderly, as well as the providers who treat them.
Policy Brief (.pdf)
also of interest
- The Medicaid Medically Needy Program: Spending and Enrollment Update
- Community Health Centers in an Era of Health Reform: An Overview and Key Challenges to Health Center Growth
- How is the Affordable Care Act Leading to Changes in Medicaid Long-Term Services and Supports (LTSS) Today? State Adoption of Six LTSS Options