Katie Beckett HRA Transition FAQs

Why is DDA switching HRA companies?

The State of TN is required to engage in a competitive bidding process with potential vendors at the end of each contract period. Inspira’s contract is ending on 6/1/25.  TASC was awarded the new contract as a result of the competitive bidding process, which included reviewing proposals from prospective and current vendors outlining how each vendor would meet program and contractual requirements. 

When will the switch happen?

TASC will begin reviewing and approving reimbursement requests by 7/11/25. New TASC HRA Cards will be sent to families and will be effective by this date.

What will happen to my Katie Beckett funds?

The remaining 2025 balance of your Katie Beckett funds will be transferred from Inspira to the new vendor, TASC. Your total HRA funding allocation (the amount you chose) will remain the same for the calendar year and should not be impacted by the transfer of those funds.

When will I receive my new card?

The card will be mailed to your address on file with DDA.  You will receive it on or before July 11, 2025.

Will my TASC card work at the same places where my Inspira card worked?

Yes, your TASC card should work at places that accept HRA cards.

Will TASC have a direct number and email just for TN Katie Beckett customers like Inspira has now?

TASC has a dedicated line for Katie Beckett families at 844-529-8137.  Help can also be accessed by filling out a support request in your TASC portal.

Will ISC/Case managers' set up be different from parents with cards?

The ISC/Case managers will have a different view and place to login compared to the parents.

Are we getting new case managers?

Your Katie Beckett manager will not change because of the HRA transition.  

Why is there a period when I can’t use my card or receive reimbursements?

In order to ensure the correct balance is sent to the new vendor, we have outlined the following time frames to ensure there is a clear cut-off date for claims to be processed by Inspira. Your balances will be transferred to the new vendor, TASC, once Inspira has had adequate time to process and pay your claims, and update the final balances in your account prior to the transfer to TASC:

What is the timeframe for submitting claims for reimbursement in Inspira?

You may submit claim information to Inspira for a purchase that occurred prior to 6/1/25.

 You must submit claim information to Inspira by 6/10/25 for Inspira to pay the claim.

If you do not submit claim information to Inspira by 6/10/25 for purchases prior to 6/1/25, your claim will have to be resubmitted to TASC after 7/11/25.

Can I spend Katie Beckett funds between May 31st and July 11th?

You can make purchases for approved items and services during the blackout period, but you will need to submit claim information to TASC beginning on 7/11/25 when the portal goes live for Katie Beckett claims.

If I make a card purchase with my Inspira card before May 31st but miss the deadline to submit documentation to Inspira, can I submit the documentation to TASC and receive approval?  

TASC is unable to substantiate outstanding debit card purchases made with the Inspira card. Documentation for all Inspira card purchases must be submitted to Inspira by 6/10/2025.

Can TASC reimburse purchases made before May 31st after the transition?

TASC can reimburse for purchases made prior to May 31st but you will have to wait until 7/11/25 to submit requests to TASC for reimbursement. 

It is my understanding that expenses before June 1 will not be allowed to be claimed with TASC since they occurred during the time we were under Inspira. However, my daughter is having a medical procedure done on 5/28 and I know that the hospital and doctor will not have time to bill insurance and have insurance process the claim in time for us to make the 6/10 filing deadline with Inspira, so if we cannot claim expenses with TASC incurred before 6/1, does this mean that I will be out of pocket for this procedure and cannot use our KB funds to cover it? The doctor and hospital don’t bill us until the insurance claim comes back, which obviously will be after 6/10, so are we just out of luck?

Any qualifying calendar year 2025 reimbursements can be claimed through TASC if they have not already been reimbursed by Inspira. 

We know that once TASC goes “live” on 7/11, families will be filing 40 days’ worth of claims asap, which will inevitably cause a logjam with claims processing. Realistically, what can we expect to see once we are able to begin filing claims? What is the anticipated turnaround time for processing/payments?

TASC handles thousands of claims daily and does not expect any impact to the regular claims processing and reimbursement timeline.  

When we go live with TASC on 7/11, if we still have active claims with Inspira, are we still able to battle with them, or is their support of us at that point over?

If a family has active claims that have not been paid out by Inspira by the time the portal opens on 7/11/25, families can resubmit with TASC for reimbursement.  

Will we have new cards from TASC before the blackout time to have a card to use during the blackout period, or are we expected to incur any costs during that month?

Cards will be received on or before July 11 and will arrive in a plain white envelope.  Cards CANNOT be used prior to July 11.  

When will the website go live?

On or before July 11^th.   

How do you initially match us up with the correct Katie Beckett account for our child? Does it match up solely on email?

For login purposes, the email address that is assigned to the account is what will determine the account you see when you login. This is why a unique email is required for each child’s account.

When and how do you get your 12-digit ID?

The 12-digit TASC ID will be created when the participant account is created within the TASC system. This TASC ID number will be communicated via the Welcome Letter as well as located on the back of the benefit card.

When will I be able to register and log in to MYTASC?

TASC will send all parents a welcome packet with information about how to register and login to your TASC portal.  

Where do I go to submit documentation or submit claims for reimbursement?

To submit claims, you will navigate to the Katie Beckett TASC page on or after the go-live date at www.tnkbbtasc.com, and log in to your online portal account using the login button in the upper right-hand corner.

Will there be training on how to use the website?

Yes, a webinar will be scheduled for May 7th to review the TASC claim process and other important information. The webinar will be recorded and placed on the DDA website for future reference.

How long will it take for my claims to be reimbursed?

Manual claims filed via the online portal are generally processed within 3 business days.

How will you notify me that there is a problem with my claim?

TASC will alert you of claims issues via e-mail or mail notice, as well as via an online portal notification.

Who should I contact if I experience issues with claims submission or documentation submission?

KBB TASC Customer Care can be reached at 844-529-8137.  Your Katie Beckett Case Manager can also assist.

What will happen to all my current LOMNs submitted to Inspira?

Current Letters of Medical Necessity (LOMN) will need to be submitted to TASC each time for purchases requiring a LOMN. If you do not have a copy of a previously submitted LOMN, you will need to go to the Inspira portal and download your existing LOMN no later than 6/10/25.

Will TASC use the IRS list as a guide for reimbursements and where LOMNs are needed?

Yes.  The TASC claims team will be referencing the IRS list for eligible expenses. 

There is currently a 10 MB limit on uploading docs for verification/reimbursement, making it difficult to submit unless we have electronic copies. Will TASC increase this limit?

TASC currently has a 10 MB limit. 

What will the reimbursement timeline look like? Will the same docs be required for reimbursement (detailed receipt, LOMN, etc.)?

Claims are typically processed in 3 business days.  Reimbursement made to MyCash is the quickest option.

Will we be able to open the docs we've uploaded (to double check it's the correct version) prior to submitting?

No, uploaded documents are not viewable prior to submission, so please ensure you are uploading the correct document.   

Can you use the current LOMN form? If you have a continuing claim that you submit each month, do you have to create a new LOMN? 

 Current LOMNs are accepted by TASC and must be submitted for every claim.   

Does a LOMN have to be on the TASC form, or will our prior LOMN work?

Current LOMNs will be accepted by TASC.  

Do we have to submit the same LOMN every time? Not just once like we did with Inspira?

Yes. LOMNs must be submitted with every claim. 

Are there any limitations in the mobile app on which file extensions can be uploaded?  Had trouble with pictures historically, which caused reworking of PDFs 

 The mobile app and website will accept JPG, JPEG, PNG, or PDF format and cannot exceed 10 MB.

Can we use the LOMN we have been using with Katie Beckett currently? The one we use now does not need to be updated every year. 

Current LOMNs do not need to be renewed annually IF the “for the duration of the time a child is receiving Katie Beckett, Part B Services” is checked on the LOMN.  

Is the list of eligible items for reimbursement still the same? Tutor and respite, and special tuition if LOMN is valid?

DDA intends to follow current Katie Beckett Program requirements and work with TASC closely to resolve any questions about expenditures where possible.  

How do I indicate that it is my child's account? How does it find "us"? Inspira required us to use the last four digits of Social Security numbers for initial sign-in.

When logging in for the first time, you will Sign UP with the email address that has been added to the account. If no email address is assigned to your account, you will need to contact TASC customer care at 844-529-8137 in order to have an email address added.

Can you fax your claims in?

Yes, TASC will accept paper Request for Reimbursement forms to be sent via fax (608-661-9601), or by mail: TASC, PO Box 7308, Madison, WI 53707-7308. A detailed receipt and Letter of Medical Necessity form (if required) should be sent along with the request for reimbursement form. Please allow at least 7-10 business days for processing of faxed or mailed claims.

For an LOMN service, I had a membership that lasted a month. Until the month ran out, Inspira did not approve for payment. They instantly rejected the request. Does TASC have a way to approve and keep pending?

The initial service date must have started before the claim can be submitted. Any eligible service where the first date of service has begun, and sufficient documentation has been attached, will not be rejected/denied.

Will there be a way to front some money for certain claims for families that do not have the privilege to pay out of pocket?

No, goods and services must be purchased prior to reimbursement if the HRA card is not accepted.   

With the pay the bill option, instead of paying tutor and respite ahead of time, can we just submit to pay the bill out of our funds instead?

Payment cannot be made prior to service being rendered. If the service has been rendered, then you can submit to have the bill paid from the HRA account balance.

Inspira only processes reimbursements on Fridays. does TASC process reimbursements every day? Is your cadence of working different than that? Sometimes we'd submit something on a Wednesday and not see any approvals until Friday of the following week. 

TASC processes claims for reimbursement every business day.   

Does the mobile app show the history of expenses submitted?

Yes, the mobile app will have access to all of the same transaction history as the website.

If there's a purchase we made with the Inspira card that's not finished processing, will we have to pay that back to Inspira and then resubmit to TASC?

 All documentation for card purchases must be submitted to support the validity of card purchases by 6/10/25.  Any card purchases that are not validated by Inspira will have to be paid back or offset with submission of receipts for qualifying purchases, which will not be reimbursed, but will count toward the resolution of unsubstantiated card purchase amounts  

Am I to understand that payments are not available as paper checks now?

 TASC does not reimburse via paper check.  

Where/when do we get the new LOMN form so we can work on getting it filled in?

 TASC will accept the current DDA branded LOMN form which is available on the DDA website.  

If we're having trouble with TASC reimbursements and they're not getting fixed by TASC, who should we contact at KB to get things resolved? Would our KB coordinator be the point of contact or someone else?

Your Katie Beckett case manager/coordinator is your point of contact if unable to resolve issues with TASC.  

When submitting claims, current options on Inspira are medical expense applied to deductible, medical expense not applied to deductible, Orthodontia, over the counter, prescription Drugs, Preventative Care, vision, wellness. This was always confusing because some things may not apply, like respite, where you don’t have an EOB. Is it going to be the same for TASC?

TASC will provide the option to select an expense type of Medical, Dental, or Vision. After the expense type is selected, then you will select the best available service type from the given list. This list will include Deductible, Copay, Coinsurance, Prescription, Medical Travel, and Uninsured Expenses to name a few.

Is there a time limit to submit a claim? For through Inspira, we had up until March 31st of the following year to submit a claim.

TASC will have the same runout period, which means that calendar year 2025 expenses must be submitted no later than March 31, 2026.  

Where can the HRA card be used? 

The card will work at service providers that primarily provide medical, dental, and vision services. The TASC card will also work at pharmacies and merchants who sell over the counter medical products.

Can you please further explain MyCash?

MyCash is an individual cash account that securely holds your reimbursement funds until you spend or move them. When you do not use your TASC Card to pay for an eligible expense, simply submit a request for reimbursement via the TASC mobile app or online. TASC processes requests daily, and approved reimbursements are deposited directly into your MyCash account—usually within 12 hours. Reimbursements to MyCash are even faster than direct deposit! You choose how to use your MyCash funds. These are your reimbursement funds and you can spend them like cash wherever Mastercard is accepted.

Once the reimbursement is in MyCash, can it be sent to a bank account?

Yes, access your MyCash funds three ways: 1. Swipe your TASC Card at any merchant that accepts Mastercard. Individual merchant restrictions may apply. 2. Withdraw funds at an ATM (with a PIN; request online) using your TASC Card. 3. Transfer to a personal bank account via the mobile app or online.

Is MyCash the only option for reimbursement and not direct deposit to a bank account?

You can choose direct deposit instead of MyCash in your TASC portal.   

Is there a daily limit for the card?

There is no daily limit card up to the available Katie Beckett balance remaining for the calendar year. 

Is there an option for Visa vs Mastercard?

No. The TASC vendor is MasterCard. 

How can we change the parent's name on the card to the other parent?

The TASC portal allows for ordering multiple cards. The other parent can be added as a dependent online and then a card can be ordered in their name.

If we charge the card for the bill amount and insurance pays more than expected, how do we pay back the Katie Beckett account? Do we send a check to TASC, or is there a way to process a digital payment?

There are multiple ways to repay an overpaid or ineligible expense. 1. The participant can receive a card refund from the merchant for the overpaid amount. 2. The participant can submit a support request with a replacement expense that has not already been reimbursed. 3. A check or money order repayment can be mailed to PO Box 7308, Madison, WI 53707-7308. Please include the 12-digit TASC ID on the check memo.

Could you explain again the "MyCash" option for 12-hour reimbursement? 

This timeframe that is being given is to illustrate the difference in time if you spend the money directly from MyCash as opposed to transferring the funds via direct deposit to a personal bank account, which typically takes an additional 24-72 hours.

How do you know when you swipe your card if it’s coming from MyCash or KBB funds that haven’t been approved?

Transaction history and account balances can always be reviewed online or using the mobile app to determine what account a transaction paid from. The TASC card is tiered to always attempt to pull from the KBB funds first and would only pay from MyCash if the KBB balance is insufficient or if the expense is being attempted at a non-medical merchant.  

How is it more convenient to use My Cash and then manually transfer it to my bank account rather than just getting reimbursed via direct deposit?

 MyCash is the quickest way to receive reimbursement, but you are able to set up direct deposit and bypass MyCash in your TASC portal.  

With MyCash, are there any fees associated with transferring funds to my bank account? 

No, there are no fees that TASC charges for transferring MyCash funds.

Can you pull the cash off MyCash, or do you have to use it off the card? 

You are not required to use MyCash funds with the card. This is just one additional option to access reimbursed funds quicker. There are three ways to access MyCash funds: 1. Swipe your TASC Card at any merchant that accepts Mastercard. Individual merchant restrictions may apply. 2. Withdraw funds at an ATM (with a PIN; request online) using your TASC Card. 3. Transfer to a personal bank account via the mobile app or online.

Is MyCash a separate spending account? Does MyCash not need any supporting documents for use? Will MyCash have a separate card?

MyCash is a separate account stored on the same benefit card. The card is a smart card that has a depletion order where all transactions will attempt to authorize from the HRA account first. If the item is not being presented to the card as a medical merchant/item then the card will attempt to pay from the MyCash, as long as there is a sufficient account balance. No supporting documents are needed for MyCash purchases as these funds have already been reimbursed from an eligible expense, and these funds can be used for anything.

When you receive the money to MyCash, if you use that money, do you again need to provide receipts and LOMN for anything received for MyCash?  

Money that has been paid into MyCash is free and clear to be used for any purchases, or it can be transferred to a personal bank account. Since these funds have already been reimbursed from eligible medical expenses, then the use of MyCash does not require additional supporting documentation. 

I have multiple children in the Katie Beckett Program. How will accounts be set up?

TASC will create separate participant accounts for each eligible child. Each account must have a unique email address attached to each account.  

Will I have separate HRA cards for each child?

Yes.  You will have a card issued for each child enrolled in Katie Beckett. 

If you have two children, will we need to sign up twice? If once, will both accounts show as one or divided?

Separate email accounts will be required for each child enrolled in TASC. 

Can you have two cards, one for each parent?

Yes.  You can order additional cards in the TASC portal.  

You mentioned that if you have one child with separate households, you can have separate accounts.  Does that also mean a separate cash card (reimbursement) account? Or is that reimbursement account shared?  

There will be just one reimbursement account that is shared. A separate card can be issued to each of the caregivers, but those cards would both be connected to the same reimbursement account.

Will the letters state which child the card is for?

TASC’s welcome communications will be sent in the cardholder’s name and will provide account registration instructions along with unique participant TASC IDs for each dependent account.  Once registration is completed, you will be able to view the dependent information associated with each account under the profile section.  Furthermore, the Employee ID field displayed in the TASC system will utilize a combination of the Dependent oversight ID and Dependent SSN values on each account.   

Is there mileage reimbursement?

DDA intends to follow current Katie Beckett Program requirements and work with TASC closely to resolve any questions about expenditures where possible. 

If I am eligible for mileage reimbursement, should I submit my mileage from before May 31st to Inspira?

Any claim that occurred prior to May 31 may be submitted to Inspira up until June 10, 2025. Any unpaid calendar year 2025 claim can be submitted to TASC after July 11, 2025.   

Do you prefer school payments to be made on the reimbursement card?

TASC does not have a preference.

If you pay for a class or membership that lasts a certain number of weeks, Inspira wouldn't pay until the end of that time period, even if you have to pay at the beginning Here is an example: Summer camp - you have to pay for it months ahead, but Inspira won't pay until after the service dates, in July. I paid for camp in January but can't get paid back for it until July. Does TASC operate the same way?

Prepayments are not eligible for reimbursement. The IRS requires that service be rendered prior to reimbursement.

For memberships, will you reimburse us as soon as the transaction happens? Or will we have to wait for that month to be over to get reimbursed?

Services must occur prior to reimbursement 

Will an LOMN be required for respite reimbursement? 

 No LOMN is needed for Respite Care.  

Will TASC provide any type of "pre-approval" prior to the purchase of items, if we are uncertain if the item is eligible for reimbursement?

A Support Request can be submitted with all of the necessary purchase details, including date the purchase will be made, a description of what is being purchased, and any LOMN that may have been received for the purchase. Our claims processing team can then review the item and provide feedback on the eligibility of the item.

When a request is denied, is it faster to appeal or to submit a new request? What is the current turnaround time? 

It is quickest to resubmit a claim that has been denied and supply the missing information that caused the initial denial. A claim appeal would only be required if the runout period to submit claims has ended for that plan year. For example, as of 4/1/2026 you will no longer be able to submit 2025 claims. If you are attempting to still resubmit a denied claim with a 2025 date of service, it would require a claim appeal.

What is needed to reimburse respite claims?

Respite claims are being reviewed to verify:  1) all fields have been completed, 2) the math checks out for hours of care times with the hourly rate, 3) the dollar amount requested matches the total on the respite form, and 4) there is a signature from both the provider of care and the parent.

The DDA respite form is the best option to submit the information, but TASC should not limit it to only the DDA form being allowed for respite claims. As long as the verification form utilized contains all of the required information regarding who provided the care, who received the care, a description of services rendered, date(s) and times of care, and the rate and total amount charged, the claim should be paid, assuming there are sufficient funds in the child’s account. When researched, TASC indicated reports of denied respite claims stemmed from the required information not being present on forms submitted.

Do we need to submit the LOMN with every purchase?

Each claim submitted must include a current letter of medical necessity if one is required for that item or service.  LOMNs may be signed by a medical practitioner, MD, PA, Nurse practitioner, etc., and will be accepted by licensed therapists (PT, OT, SLP, etc.)  if the item or service is within the scope of their practice.  Current LOMNs are acceptable as long as they list the item(s) and are still valid.  Any expired LOMN documents must be updated by the treating clinician.

What is needed to reimburse for a service animal and his/her supplies?

Service animals require a letter of medical necessity or proper documentation to differentiate a service animal from a pet.

What is needed to reimburse for school or daycare tuition?

Tuition requires a LOMN and must indicate that the program is designed to treat/address the child’s specific disability; the same applies to tablets and other items to be used as educational aids or as a curriculum.   

What documentation is required for a mileage reimbursement claim?

To get reimbursed for medical mileage, you would need to provide an itemized invoice or statement showing a description of what medical care was received, who received the care, the date of the appointment, and the amount of the visit.

Can a chiropractor sign a LOMN? 

A licensed chiropractor can complete a letter of medical necessity, as long as the diagnosis and prescribed treatment are within the scope of what they are allowed to treat and based on their licensing.

Can we list multiple dates of service on the respite form? 

Yes, the respite form has multiple lines that can be completed on typically a weekly or monthly basis. The total amount from one respite form can all be submitted as one singular request for reimbursement to TASC.

Do "Parents Day Out" programs count as respite? 

Yes, the Parents’ Day Out program does count as respite. The respite form can be completed for this expense if the service provider is unable to supply a receipt.

Can the TASC card be used at any terminal, or does it have to be a medically coded terminal? 

The TASC card will only work at service providers who have a Merchant Category Code that is within the medical, dental, or vision merchant codes.

Can we submit respite monthly or weekly? 

Respite forms can be submitted either weekly or monthly. Please only include one respite form for each request for reimbursement. If you have multiple respite forms for a month, then each form should be submitted as a separate request for reimbursement for the grand total from the respite form.

Under Inspira, we were allowed to attend (1) conference a year to help learn about our daughters rare syndrome. Is this still allowable?  What is needed on your side for that reimbursement? 

TASC would need to have a LOMN completed that recommends the attendance of the conference and the reason for how this will benefit the child’s medical condition. You would also need to provide the receipt for the cost of the conference.

For memberships such as a zoo or gym membership, what is needed to reimburse for a parent’s portion to be reimbursed?

The amount for one parent’s portion can be included for reimbursement along with the child’s portion. If the receipt shows that there are two parents included in the expense, TASC would ask that you provide rates from the service provider for the amount that is charged for one adult and one child. These expenses would also require a LOMN that states the specific type of membership and how that will benefit the child’s diagnosed condition.

Are property appraisals needed for capital expenses, and if so, can they be reimbursed?

Capital expense claims require a pre-appraisal and a post-appraisal of the home/property, as indicated on the Capital Expense form. TASC encourages families to contact TASC prior to making large capital improvement purchases to review the planned purchase. The appraisal is not a reimbursable item.

How do we obtain a prior authorization from TASC?

In order to seek prior authorization, you should submit a Support Request through the online TASC portal. After logging into your account, you will click on Support in the upper right hand corner, and then Contact Us. In the description you will type that you are seeking prior authorization for an expense, and then attach all documents that you have regarding the purchase that you are wanting to make, the completed LOMN for the item, and a capital expense worksheet (if applicable).

Is there a limit on number of transactions per day?

There are no limits on the number of transactions per day as long as the card is physically being swiped at the point of sale system. For transactions where the card is not being swiped (online transactions), there is a limit of 10 transactions within a 48-hour period. If you have reached the 10 online transactions in a 48-hour limit, that does not prevent the card from being physically swiped to access the HRA funds. If you are trying to complete an 11^th online transaction in a 48-hour period, you will need to wait 24-48 hours to complete the transaction.

I was told that the service I use to transport my children from school to therapy is covered.  There is a set fee per ride.  What is the best way to submit this information? 

This type of expense is similar to medical mileage. You will need to provide a receipt for the transportation service and the total amount charged. You will also need to include an itemized invoice or statement from the therapy session that shows the date of service, description of service rendered, patient name, amount charged, and the service provider's name.

If I use the TASC card and the charges do not pull from Katie Beckett (when they should have), can it still be resubmitted for reimbursement again?  

Yes, if you swipe your card for an eligible expense and it authorizes the payment from the MyCash funds instead of the HRA funds, you can submit a manual request for reimbursement and attach the detailed verification document.