The Tennessee’s Medicaid managed care program called TennCare II, but typically referred to as TennCare – is authorized through a 1115 demonstration waiver. The state contracts with three health plans that deliver physical health and behavioral health benefits and long-term services and supports (LTSS) for most populations, including families and children, dual eligibles, and aged and disabled adults. The state’s three statewide health plans provide coverage on a full-risk capitated basis for most of the Medicaid population. Enrollees may select a health plan or be assigned to one. TennCare Select provides services to special populations through a partially at-risk prepaid inpatient health plan (PIHP) that receives an administrative fee from the state.
This Tennessee Medicaid Contract is for TennCare Select, signed January 1, 2019.
For more information on Tennessee’s Medicaid managed care programs, and to view other contracts, visit Tennessee Medicaid Managed Care Contracts.