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TACIR staff propose a contract addendum to unblock TennCare school-based reimbursement
Summary
TACIR staff reported progress toward resolving a contract barrier preventing some districts (Knox, Metro Nashville) from signing managed-care agreements for Medicaid reimbursement of school-based services; TennCare agreed to test an addendum with Knox County and stakeholders cited administrative and credentialing burdens as ongoing obstacles.
TACIR staff briefed the commission on efforts to remove contractual and administrative hurdles that have limited school districts’ ability to obtain TennCare reimbursement for school‑based health services.
Staff noted that statewide TennCare reimbursements for school‑based services totaled about $3.95 million for calendar year 2023 and that TennCare and the managed‑care organizations recently agreed to explore a contract addendum to address concerns raised by Knox County Schools and…
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