COPA Official Correspondence

05/13/24A letter from Commissioner Alvarado regarding Ballad Health’s proposal to modify the HIE Plan to include funding for EPIC system Community Connect for ETSU clinics.

05/02/24A letter from Commissioner Alvarado regarding Ballad Health’s proposal to modify the HR/GME Plan to include funding for the Southwest Virginia Higher Education Center Simulation Laboratory.

02/08/24  A letter from Commissioner Alvarado regarding Ballad Health’s proposal to modify the HR/GME Plan to include support for ETSU GME.

02/01/24  A letter from the Tennessee Department of Health regarding Ballad Health’s Fiscal Year 2022 Monetary Commitment.

01/05/24  A letter from the Tennessee Department of Health consenting to Ballad Health’s request to close surgical services at Hawkins County Memorial Hospital.   (RE Ballad Health’s 11/02/23 request to close surgical services at Hawkins County Memorial Hospital. )

11/07/23  A letter from the Tennessee Department of Health regarding Ballad Health’s request modify its Rural Health Plan to include certain funding for an additional ambulance in Carter County, Tennessee.

09/12/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s request modify its HR/GME Plan  to include funding for the Milligan University Simulation Laboratory.

09/12/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s request modify its HR/GME Plan  to include certain funding for the Appalachian Highlands Healthcare Academy.

07/05/23 – The Tennessee Department of Health accepted Ballad Health's proposed FY24 Population Health Process Measures that will be used in calculating the FY24 score.

06/28/23 – A letter from the Tennessee Department of Health approving Ballad Health’s FY24 budget for FY23-FY25 spending plans. (RE Ballad Health’s FY24 Plan Budget. )

06/15/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s waiver request related to Urologists in Washington and Sullivan County. (RE Ballad Health’s 05/12/23 urology employed physician waiver letter.)

05/05/23 – A letter from the Tennessee Department of Health consenting to Ballad Health’s proposed consolidation of Intensive Care Unit (ICU) and Progressive Care Unit (PCU) Services/Units at Sycamore Shoals Hospital with Johnson City Medical Center.  (RE Ballad Health’s 12/08/22 Sycamore Shoals ICU/PCU notice Letter.)

05/04/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s request modify its Rural Health Plan to incorporate expenses related to the reopening of Lee County Hospital.

04/10/23 – letter from the Tennessee Department of Health approving Ballad Health’s request for a ninety-day extension on the replacement capital plan submission requirement.  (RE Ballad Health’s 03/22/23 Capital Plan Extension Letter. )

01/27/23 – A letter from the Tennessee Department of Health regarding Ballad Health’s Fiscal Year 2021 Monetary Commitment.

12/20/22 – A letter from the Tennessee Department of Health and the Tennessee Attorney General and Reporter regarding Ballad Health’s request for a Temporary Suspension of the Addendum 1 Rate Cap

12/19/22 – letter from the Tennessee Department of Health approving Ballad Health’s request for a one-year extension on the replacement capital plan submission requirement (RE Ballad Health’s 10/14/22 One-year Extension on Capital Plan Letter. )

08/15/22 - A letter from the Tennessee Department of Health approving Ballad Health’s proposed Population Health Process Measures for FY23.

08/01/22 – A letter from the Tennessee Department of Health approving Ballad Health’s request for a waiver related to a Gynecologic Oncologist in Sullivan County.  (RE Ballad Health’s 06/23/22 Gynecologic Oncology Waiver Request. )

06/02/22 – A letter from the Tennessee Department of Health regarding Ballad Health’s request to modify its Rural Health Plan to include to include capital funding costs for the development of a Greeneville Outpatient Diagnostic Center.  

06/02/22 – A letter from the Tennessee Department of Health regarding Ballad Health’s proposal to modify its Behavioral Health Plan to include capital funding costs for the development of a replacement facility for the Strong Futures Living Center.

04/19/22 – A letter from the Tennessee Department of Health regarding Ballad Health’s 03/03/22 restatement of numbers (full-time equivalents and corresponding percentages) for a previously granted waiver to accurately reflect the employed physicians that were in place as of January 31, 2018.

04/19/22 – A letter from the Tennessee Department of Health regarding Ballad Health’s 03/14/22 request regarding a partnership lease agreement with Care Centers Management Consulting, Inc. for the continuation of post-acute services at the Laughlin Healthcare Center location.

03/22/22 – A letter from the Tennessee Department of Health regarding Ballad Health’s 11/12/21 waiver request related to Vascular Surgery in Washington and Sullivan County. 

03/14/22 – Ballad Health’s request regarding a partnership lease agreement with Care Centers Management Consulting, Inc. for the continuation of post-acute services at the Laughlin Healthcare Center location.

03/03/22 – A letter from Ballad Health restating the numbers (full-time equivalents and corresponding percentages) for a previously granted waiver to accurately reflect the employed physicians that were in place as of January 31, 2018.

01/24/22 – A letter from the Tennessee Department of Health to Ballad Health regarding the timing for a public hearing on the Ballad Health COPA in 2022.

12/22/21 – A letter from Commissioner Piercey and General Slatery to Ballad Health approving the replacement of the present Exhibit B of the Second Amended and Restated Terms of Certification with Ballad Health’s revised Exhibit B proposal.

12/15/21  The Tennessee Department of Health approved Ballad Health ‘s waiver request related to Neurology in Washington County

12/3/21 – A letter from General Slatery and Commissioner Piercey to Ballad Health regarding the resumption of suspended obligations under the COPA.

11/12/21 – Ballad Health’s waiver request related to Vascular Surgery in Washington and Sullivan County.

11/12/21 – Ballad Health ‘s waiver request related to Neurology in Washington County.

11/05/21 – A letter from Ballad Health proposing a replacement to the present Exhibit B of the Second Amended and Restated Terms of Certification.

10/27/21 – A letter from the Tennessee Department of Health to Ballad Health regarding scoring under the Certificate of Public Advantage for Fiscal Years 2021 and 2022, which have been significantly impacted by the COVID-19 pandemic.

10/6/21 – letter from the Tennessee Department of Health regarding Ballad Health’s request to modify the Health Research and Graduate Medical Education to include a family medicine residency relocation to Norton Community Hospital

09/29/21 – A letter from the Tennessee Department of Health regarding  Ballad Health’s request to modify the Health Research and Graduate Medical Education Plan to include a Milligan University addictions counseling program.

09/14/21  The Tennessee Department of Health responded to Ballad Health‘s  waiver request for Actions related to Ballad Health’s Cardiology Program.

9/14/21  The Tennessee Department of Health approved Ballad Health ‘s waiver request related to Physical Medicine & Rehabilitation in Sullivan County, TN for outpatient services.

08/26/21 – A letter from the Commissioner Piercey and General Slatery regarding Ballad Health’s Year 2 (Fiscal Year 2020) Monetary Commitment.

08/25/21  Ballad Health‘s waiver request related to Physical Medicine & Rehabilitation in Sullivan County, TN for outpatient services.

08/25/21 – letter from the Tennessee Department of Health responding to additional information provided by Ballad Health in their 07/06/21 letter regarding Ballad Health’s Children’s Health Plan Modification Request to add Miracle Field.

07/06/21 – A letter from Ballad Health responding to the 06/07/21 conditional approval of Ballad Health’s Children’s Health Plan Modification Request to add Miracle Field

07/27/21 – A letter from the Tennessee Department of Health regarding the approval of Ballad Health’s Rural Health Plan Modification Request to add the purchase of new cardiac monitors for regional EMS providers.

07/01/21 – letter from Ballad Health to Commissioner Piercey and General Slatery regarding Ballad Health’s year 2 (FY 2020) Monetary Commitment.

06/07/21 – A letter from the Tennessee Department of Health regarding the approval of Ballad Health’s Children’s Health Plan Modification Request to add Miracle Field.

04/02/21 – Ballad Health submitted a Revised Children’s Health Plan

03/26/21  The COPA Monitor Annual Report for the year ending June 30, 2020.

02/25/21 – The Department published its Year 2 COPA Index Reports: the 2020 Population Health Report2020 Access to Health Services Report, and 2020 Other (Quality) Report.

02/24/21  The COPA Local Advisory Council 2021 Annual Report was published.

02/18/21  revised letter from Ballad Health to Commissioner Piercey with additional information regarding a waiver request for actions related to Ballad Health’s cardiology program.  

02/12/21 – Ballad Health ‘s waiver request related to the Ballad Health cardiology program in Greeneville, TN.

02/09/21  letter from Ballad Health to Commissioner Piercey with additional information regarding a waiver request for actions related to Ballad Health’s cardiology program.

02/08/21  The Tennessee Department of Health approved Ballad Health’s 01/11/21 request for one-year extension of their three-year plans.

01/11/21 –  Ballad Health submitted to TDH a letter requesting a one-year extension of their three-year plans.