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
- Proposed Medicaid Expansion in Indiana through HIP 2.0
- One Year into Duals Demo Enrollment: Early Expectations Meet Reality
- Financial and Administrative Alignment Demonstrations for Dual Eligible Beneficiaries Compared: States with Memoranda of Understanding Approved by CMS
- Financial Alignment Demonstrations for Dual Eligible Beneficiaries: A Look at CMS’s Evaluation Plan