TennCare Public Notices

Open public comment periods

Currently, there are no open public comments.

Closed public comment periods

Notice of Change to the TennCare III Demonstration - Uncompensated Care Payments
Status: Public comment period is closed.
Draft Distribution Methodology for Uncompensated Care Payments
Redline Distribution Methodology for Uncompensated Care Payments

Notice of Change to the TennCare III Program - HCBS Expenditure Caps
Status: Public comment period is closed.

Notice of 2023 Update of Quality Improvement Strategy
Status: Public comment period is closed.
2023 Update of Quality Improvement Strategy

Notice of Change in Medicaid State Plan: Professional Dispensing Fees for Pharmacies
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 31, 2023.

Notice of Change in TennCare III Demonstration – Amendment 5 (Supporting Strong Families)
Status: Public comment period is closed. Amendment 5 was submitted to the Centers for Medicare and Medicaid Services (CMS) on November 13, 2023.
Draft Version of Amendment 5

Notice of Change to the TennCare III Program - Coverage for Pregnant Women
Status: Public comment period is closed.

Notice of Public Forum on Progress of the TennCare Demonstration
Status: Public comment period is closed.

Notice of Change in Medicaid State Plan: Lactation Support Services
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on June 23, 2023. CMS approved the State Plan Amendment on September 1, 2023.

Status: Public comment period is closed.
Proposed Amendments to Tennessee’s Section 1915(c) Home and Community-Based Services Waivers
Responses to Public Comment 2023 1915c Waiver Amendments FINAL

Notice of 2022 Quality Improvement Strategy (Finalized)
Status: Finalized version of the 2022 TennCare Quality Improvement Strategy was submitted to the Centers for Medicare and Medicaid Services (CMS) on December 20, 2022.
2022 Quality Improvement Strategy - Finalized Version

Notice of 2022 Update of Quality Improvement Strategy
Status: Public comment period is closed.
2022 Update of Quality Improvement Strategy

Notice of Change to the TennCare III Program - Adult Dental Services - Updated 11/3/22
Status: Public comment period is closed. TennCare's coverage of dental services for all adult members became effective on January 1, 2023.
Proposed List of Dental Services to be Covered by TennCare

Notice of Change in 1915(c) HCBS Waivers
Status: Public comment period is closed.
Proposed Renewal and Amendments to Tennessee’s Section 1915(c) Home and Community-Based Services Waivers
Responses to Public Comment 2023 1915(c) Renewal Amendments

Notice of Annual Monitoring Report
Status: The Annual Monitoring Report was submitted to the Centers for Medicare and Medicaid Services (CMS) on April 7, 2022.
Annual Monitoring Report - Year 1 of the TennCare III Demonstration

Notice of Change in TennCare III Demonstration – Amendment 4 (Program Modifications)
Status: Public comment period is closed. Amendment 4 was submitted to the Centers for Medicare and Medicaid Services (CMS) on August 30, 2022. CMS approved Amendment 4 on August 4, 2023.
Draft Version of Amendment 4

Notice of Change in TennCare III Demonstration - Amendment 3 (Enhancements to HCBS)
Status: Public comment period is closed. Amendment 3 was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 12, 2022. CMS approved Amendment 3 on October 20, 2023.
Draft Version of Amendment 3

Notice of Annual Monitoring Report

Notice of Change to the TennCare III Program - CHOICES Group 3
Status: Public comment period is closed. The CHOICES At Risk Demonstration Group re-opened to new enrollment beginning on October 1, 2022.

Notice of Public Forum on Progress of the TennCare Demonstration
Status: Public comment period is closed.

Notice of Change in Medicaid State Plan: Graduate Medical Education
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on May 19, 2022. CMS approved the State Plan Amendment on December 20, 2022.
Draft Version of State Plan Amendment on Graduate Medical Education

Notice of Change in Medicaid State Plan: COVID-Related Services
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on May 6, 2022. CMS approved the State Plan Amendment on July 29, 2022.

Notice of Change in Medicaid State Plan: Graduate Medical Education
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on March 1, 2022, and was withdrawn from consideration on May 16, 2022.
Draft Version of State Plan Amendment on Graduate Medical Education

Notice of Change in Medicaid State Plan: Clinical Trials
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on February 22, 2022. CMS approved the State Plan Amendment on April 28, 2022.

Notice of Change to the TennCare III Program - Maternal Health Enhancements - Updated 1/6/22
Status: Public comment period is closed. Maternal health enhancements went into effect on April 1, 2022.

Notice of Change in TennCare III Demonstration - Amendment 2 (Coverage for Adopted Children)
Status: Public comment period is closed. Amendment 2 was submitted to the Centers for Medicare and Medicaid Services (CMS) on April 8, 2022.
Draft Version of Amendment 2

Notice of Change in Medicaid State Plan: Chiropractic Services
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on December 7, 2021. CMS approved the State Plan Amendment on March 4, 2022.

Notice of Change in Medicaid State Plan: Ground Ambulance Services
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on September 20, 2021. CMS approved the State Plan Amendment on November 15, 2021.

Notice of Public Forum on Progress of the TennCare Demonstration
Status: Public comment period is closed.
Annual Report for 2019-2020

Notice of 2021 Update of Quality Improvement Strategy (Finalized)
Status: Finalized version of the 2021 update of the TennCare Quality Improvement Strategy was submitted to the Centers for Medicare and Medicaid Services (CMS) on May 5, 2021.
2021 Update of Quality Improvement Strategy - Finalized Version

Notice of 2021 Update of Quality Improvement Strategy
Status: Public comment period is closed.
2021 Update of Quality Improvement Strategy

Notice of Change in Medicaid State Plan: IMD Services
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on March 1, 2021. CMS approved the State Plan Amendment on May 28, 2021.

Notice of Change in TennCare III Demonstration: Amendment 1 (Service Integration, Health Plan Populations, and Medication Therapy Management)
Status: Public comment period is closed.
Draft Version of Amendment 1

Notice of Change to 1915c Waiver Amendments
Status: Public comment period is closed.
Proposed Amendments to Tennesse's Section 1915c Home and Community-Based Services Waivers
Comment Form for 1915c Waiver Amendments
1915c Waiver Amendments Plain Language Overview

Notice of Change in Medicaid State Plan: COVID-19 Vaccinations
Status: Public comment period is closed.

Notice of Draft Annual Report
Status: Draft Annual Report was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 22, 2020.
Draft Annual Report

Notice of Public Forum on Progress of the TennCare Demonstration
Status: Public comment period is closed.

Notice of Application to Extend the TennCare Demonstration
Status: Public comment period is closed.
Draft Version of Application to Extend the TennCare Demonstration

Notice of Change in Medicaid State Plan: Buprenorphine-Enhanced Supportive Medication-Assisted Recovery and Treatment (BE-SMART)
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on August 31, 2020. CMS approved the State Plan Amendment on November 20, 2020.

Notice of Change in Medicaid State Plan: Methadone Clinic Services
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on June 10, 2020. CMS approved the State Plan Amendment on September 4, 2020.

Notice of Draft Annual Report
Status: Draft Annual Report was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 28, 2019.
Draft Annual Report

Notice of Change in TennCare Demonstration: Amendment 44 (Program Modifications)
Status: Public comment period is closed. Amendment 44 will not be submitted to the Centers for Medicare and Medicaid Services (CMS).
Draft Version of Amendment 44

Notice of Change in TennCare Demonstration: Amendment 43 (Medication Therapy Management)
Status: Public comment period is closed. Amendment 43 was submitted to the Centers for Medicare and Medicaid Services (CMS) on March 19, 2020. CMS approved Amendment 43 on June 30, 2020.
Draft Version of Amendment 43

Notice of 2019 Update of Quality Improvement Strategy
Status: Public comment period is closed.
2019 Update of Quality Improvement Strategy

Notice of Public Forum on Progress of the TennCare Demonstration (Updated on November 25, 2019)
Status: Public comment period is closed.

Notice of Change in TennCare Demonstration: Amendment 42 (Block Grant)
Status: Public comment period is closed. Amendment 42 was submitted to the Centers for Medicare and Medicaid Services (CMS) on November 20, 2019.
Draft Version of Amendment 42
Executive Summary of Amendment 42
Overview of Amendment 42
Frequently Asked Questions about Amendment 42
Amendment 42 Misunderstandings & Clarifying Facts
Public comments on Amendment 42
Version of Amendment 42 submitted to CMS
Redline version of Amendment 42 (reflecting changes made to the draft version of Amendment 42 published in September 2019)

Notice of Change in TennCare Demonstration: Amendment 41 (Supplemental Payments to Hospitals)
Status: Public comment period is closed. Amendment 41 was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 24, 2019. CMS approved the provisions of Amendment 41 related to uncompensated care funding for hospitals on July 7, 2020.
Draft Version of Amendment 41
Uncompensated Care Report

Notice of Change in TennCare Demonstration: Amendment 40 (Katie Beckett Program)
Status: Public comment period is closed. Amendment 40 was submitted to the Centers for Medicare and Medicaid Services (CMS) on September 20, 2019. CMS approved Amendment 40 on November 2, 2020.
Draft Version of Amendment 40

Notice of Final Annual Report
Status: Final Annual Report was submitted to the Centers for Medicare and Medicaid Services (CMS) on February 8, 2019. CMS approved the Final Annual Report on March 8, 2019.
Final Annual Report to CMS

Notice of Change in TennCare Demonstration: Amendment 39 (Program Modifications)
Status: Public comment period is closed. Amendment 39 was submitted to the Centers for Medicare and Medicaid Services (CMS) on April 15, 2019, and was withdrawn on May 29, 2019, following renewal of the hospital assessment by the Tennessee General Assembly.
Version of Amendment 39 submitted to CMS

Notice of Change in Medicaid State Plan: Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs)
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on March 20, 2019, and was withdrawn from consideration on August 8, 2019.
Version of "FQHC - RHC" State Plan Amendment submitted to CMS

Notice of Public Forum on Progress of the TennCare Demonstration
Status: Public comment period is closed.

Notice of Draft Annual Report
Status: Draft Annual Report was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 26, 2018.
Draft Annual Report

Notice of Change in TennCare Demonstration: Amendment 38 (Workforce Participation and Community Engagement)
Status: Public comment period is closed. Amendment 38 was submitted to the Centers for Medicare and Medicaid Services (CMS) on December 28, 2018.
Version of Amendment 38 submitted to CMS
Public Chapter No. 869

Notice of Change in TennCare Demonstration: Amendment 37 (ECF CHOICES; TennCare Select)
Status: Public comment period is closed. Amendment 37 was submitted to the Centers for Medicare and Medicaid Services (CMS) on November 8, 2018. CMS approved Amendment 37 on July 2, 2019.
Version of Amendment 37 submitted to CMS
Proposed Modifications to Attachment G of the TennCare Demonstration

Notice of Change in Medicaid State Plan: Nursing Facility Payments
Status: Public comment period is closed.

Notice of Change in Medicaid State Plan: Disproportionate Share Hospital (DSH) Payments
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and
Medicaid Services (CMS) on July 20, 2018. CMS approved the State Plan Amendment on September 18, 2018.
Version of "DSH Payments" State Plan Amendment submitted to CMS

Notice of Change in TennCare Demonstration: Amendment 36 (Providers of Family Planning Services)
Status: Public comment period is closed. Amendment 36 was submitted to the Centers for Medicare and Medicaid Services (CMS) on August 10, 2018.
Version of Amendment 36 Submitted to CMS

Notice of Change in Medicaid State Plan: Bed Holds
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on June 22, 2018. CMS approved the State Plan Amendment on August 6, 2018.
Version of "Bed Holds" State Plan Amendment Submitted to CMS

Notice of Change in TennCare Demonstration: Amendment 35 (Substance Use Disorder Services)
Status: Public comment period is closed. Amendment 35 was submitted to the Centers for Medicare and Medicaid Services (CMS) on May 25, 2018.
Version of Amendment 35 Submitted to CMS

Notice of Change in TennCare Demonstration: Amendment 34 (Program Modifications)
Status: Public comment period is closed. Amendment 34 will not be submitted to CMS.
Draft Version of Amendment 34

Notice of Change in TennCare Demonstration: Amendment 33 (Supplemental Payment Pools)
Status: Public comment period is closed. Amendment 33 was submitted to the Centers for Medicare and Medicaid Services (CMS) on February 7, 2018.
Version of Amendment 33 Submitted to CMS

Notice of Public Forum on Progress of the TennCare Demonstration
Status: Public comment period is closed.

Notice of Draft Annual Report to CMS
Status: Draft Annual Report was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 27, 2017.

Notice of Change in TennCare Demonstration: Amendment 32 (Medication Therapy Management)
Status: Public comment period is closed. Amendment 32 was submitted to the Centers for Medicare and Medicaid Services (CMS) on September 6, 2017. CMS approved Amendment 32 on February 1, 2018.
Version of Amendment 32 Submitted to CMS

Notice of Change in TennCare Demonstration: Private Duty Nursing Services
Status: Public comment period is closed. Proposed change was submitted to the Centers for Medicare and Medicaid Services (CMS) on July 6, 2017. CMS approved the change on February 1, 2018.

Notice of Change in Medicaid State Plan: Pharmacy Reimbursement
Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on May 23, 2017. CMS approved the State Plan Amendment on November 17, 2017.