Foster Support Care Coordination (FSCC)

Children in Tennessee Department of Children’s Services (DCS) custody who have intellectual and/or developmental disabilities may be referred to Foster Support Care Coordination. Referrals are made directly through DCS.

Each enrolled child is assigned an Independent Support Coordinator (ISC) who helps families understand available services, develop support plans, and manage the child’s Health Reimbursement Account (HRA) benefit.

The Health Reimbursement Account (HRA) helps cover eligible medical and therapeutic expenses for the enrolled child.

Key things to know:

• The HRA is a yearly benefit and cannot be increased during the year.
• Funds are only available after services are authorized on the child’s support plan.
• Expenses incurred before authorization cannot be reimbursed.
• Unused funds do not carry over into the next year.
• The annual benefit is capped at $10,000.

Families receive a TASC HRA debit card once benefits are approved.

Families typically receive their TASC debit card within 21 days of authorization.

The TASC portal and mobile app allow families to:

• Check available balances
• Submit reimbursement requests
• Upload required documents
• Track claim status

The HRA only covers the enrolled child and may only be used for approved expenses.

If a child moves to a new foster home, the HRA benefit follows the child.

The ISC will help transfer the account and ensure any remaining funds remain available. Previous caregivers have up to 90 days to submit eligible reimbursement requests.

Children who are adopted may continue receiving HRA benefits for up to one year following adoption.

The HRA may help cover a variety of approved health-related expenses, including:

• Copays and deductibles
• Speech, occupational, and physical therapy
• Medical equipment and supplies
• Orthotics
• Vision and dental services
• Prescription medications
• Respite services (reimbursement only)
• Certain non-traditional therapies

Some expenses may require additional documentation.

The TASC debit card can be used to pay for eligible medical expenses directly at approved providers and pharmacies.

Important reminders:

• Run the card as credit, not debit.
• Save all receipts.
• Some purchases may require a Letter of Medical Necessity.
• The card cannot be used to pay in advance for future services.

Families may also pay out-of-pocket and request reimbursement through the TASC portal or mobile app.

To submit a claim, families will need:

• Child’s information
• Description of services received
• Any required supporting documents
• An itemized receipt or invoice
• Date of service

Most reimbursement requests are processed within 7–10 business days.

Some services or items require a Letter of Medical Necessity from a healthcare provider.

This document confirms that the service or item is medically necessary for the child’s diagnosis. In many cases, one letter can cover multiple services and may remain valid throughout the child’s enrollment if specified by the provider.

Approved reimbursements are deposited into the family's TASC MyCash account.

Families can:

• Use the TASC card to spend available MyCash funds, or
• Transfer funds directly to a personal checking or savings account.

If an HRA account has been overpaid or frozen, families can resolve the issue by:

• Paying for expenses using another method and requesting reimbursement later
• Repaying the amount online through TASC
• Mailing a repayment directly to TASC

The ISC can assist families with questions regarding overpayments.

For questions about claims, balances, or account access, contact:

TASC Customer Support
(866) 360-8363

Families may also contact their Independent Support Coordinator (ISC) for assistance with services, benefits, and support planning