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
- Medicaid Expansion in Michigan
- Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS
- Medicaid Premium Assistance Programs: What Information is Available About Benefit and Cost-Sharing Wrap-Around Coverage?
- Proposed Changes to Medicaid Expansion in Arizona