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TACIR backs TennCare plan to draft an MCO contract addendum to allow school districts to seek Medicaid reimbursement
Summary
TACIR reviewed a draft report on a contract dispute that has prevented some Tennessee school districts from contracting directly with managed care organizations for TennCare school‑based services; staff said TennCare and an MCO have drafted an addendum to test with Knox County Schools.
TACIR staff presented a draft report Dec. 19 on school‑based health services and TennCare reimbursement prompted by a request from state lawmakers after a contract dispute kept at least one district from seeking direct reimbursement. The study responds to a request from Senator Lundberg, Representative White and Representative Cheryl and examines contractual arrangements between school districts and managed care organizations (MCOs).
Why it matters: Under Tennessee’s managed‑care model, school districts must contract with MCOs to be reimbursed directly…
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