Newsroom

NASHVILLE — The Bureau of TennCare today announced the results of the 2013 HEDIS/CAHPS Report: A Comparative Analysis of Audited Results from TennCare Managed Care Organizations (MCOs). MCOs in Tennessee are required to report Healthcare Effectiveness Data and Information Set (HEDIS) information as part of the state’s accreditation mandate. The information included in this report is for the previous 2012 calendar year.

NASHVILLE – The Bureau of TennCare has selected DentaQuest USA Insurance Company as the new Dental Benefits Manager (DBM) for the state Medicaid program. The three-year contract was awarded on Wednesday, April 24, 2013, signaling the start of a five-month readiness period. The transition from TennDent, TennCare’s current DBM, to DentaQuest will take effect October 1, 2013.

NASHVILLE – The TennCare Standard Spend Down program will again offer open enrollment opportunities to new applicants on Thursday, March 21, 2013 beginning at 6 p.m. CST.

NASHVILLE – The Bureau of TennCare has selected Magellan Health Services as the new Pharmacy Benefits Manager (PBM) for the state Medicaid program. The three-year, $35 million contract was awarded in December 2012, signaling the start of six months of extensive preparation and readiness reviews. The transition from Catamaran, TennCare’s current PBM, to Magellan will take effect June 1, 2013.

NASHVILLE — The Bureau of TennCare today announced the results of the 2012 HEDIS/CAHPS Report: A Comparative Analysis of Audited Results from TennCare Managed Care Organizations (MCOs). MCOs in Tennessee are required to report Healthcare Effectiveness Data and Information Set (HEDIS) data as part of the state’s accreditation mandate. The information included in this report is for the previous calendar year.

NASHVILLE – The Bureau of TennCare announced today its decision to join Catalyst for Payment Reform (CPR). CPR is a national independent organization led by large purchasers of health insurance with active involvement of providers, health plans, consumers and labor groups working to improve health care quality and reduce costs by identifying and coordinating workable solutions to improve how health care is paid for in the U.S.