TennCare Public Notices
Open public comment periods
Notice of 2025 Quality Improvement Strategy (Finalized)
- Status: Finalized version of the 2025 TennCare Quality Improvement Strategy was submitted to the Centers for Medicare and Medicaid Services (CMS) on December 16, 2025.
Notice of 2025 Quality Improvement Strategy
- Status: Public comment period is closed.
- 2025 Draft Quality Improvement Strategy
Notice of Change to the TennCare III Program - Coverage of ECF CHOICES Services
- Status: Public comment period is closed.
Notice of Public Forum on Progress of the TennCare Demonstration - May 27, 2025
- Status: Public comment period is closed.
Notice of Change to the TennCare III Program - Coverage of CHOICES Services
- Status: Public comment period is closed. TennCare coverage of Employment Services and Supports and Enabling Technology for members of CHOICES Group 2 and CHOICES Group 3 became effective on July 1, 2025.
Notice of Change in Medicaid State Plan: Tennessee Early Intervention System (TEIS) Services
- Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on March 31, 2025. CMS approved the State Plan Amendment on June 25, 2025.
- Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on March 14, 2025.
- Draft Version of State Plan Amendment on Reimbursement of Rural Health Clinics and Federally Qualified Health Centers
Notice of Change in Medicaid State Plan: Incarcerated Juveniles
- Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on March 31, 2025.
Notice of Change to the TennCare III Demonstration - Uncompensated Care Payments - December 17, 2024
- Status: Public comment period is closed. The modifications to TennCare's distribution methodology for uncompensated care payments became effective on February 15, 2025.
- Draft Distribution Methodology for Uncompensated Care Payments - Effective February 15, 2025
- Redline Distribution Methodology for Uncompensated Care Payments - Effective February 15, 2025
Notice of 2024 Update of Quality Improvement Strategy
- Status: Public comment period is closed.
- 2024 Update of Quality Improvement Strategy
Notice of Change in 1915(c) HCBS Waivers - August 1, 2024
- Status: Public comment period is closed.
- Proposed Renewals to Tennessee’s Section 1915(c) Home and Community-Based Services Waivers
- Responses to Public Comment 2024 1915c Waiver Renewals
Notice of Change in TennCare III Demonstration - Amendment 7 (Program Enhancements)
- Status: Public comment period is closed. Amendment 7 was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 29, 2024.
- Draft Version of Amendment 7
Notice of Change in TennCare III Demonstration – Amendment 6 (Work Incentives Group)
- Status: Public comment period is closed. Amendment 6 was submitted to the Centers for Medicare and Medicaid Services (CMS) on August 21, 2024.
- Draft Version of Amendment 6
Notice of Public Forum on Progress of the TennCare Demonstration - May 30, 2024
- Status: Public comment period is closed.
Notice of Change to the TennCare III Demonstration - Uncompensated Care Payments - December 21, 2023
- Status: Public comment period is closed. The modifications to TennCare's distribution methodology for uncompensated care payments became effective on February 21, 2024.
- Draft Distribution Methodology for Uncompensated Care Payments - Effective February 19, 2024
- Redline Distribution Methodology for Uncompensated Care Payments - Effective February 19, 2024
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.
- Status: Public comment period is closed. State Plan Amendment was submitted to the Centers for Medicare and Medicaid Services (CMS) on October 31, 2023. CMS approved the State Plan Amendment on January 3, 2024.
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. CMS approved Amendment 5 on May 17, 2024.
- Draft Version of Amendment 5
Notice of Change to the TennCare III Program - Coverage for Pregnant Women
- Status: Public comment period is closed. TennCare's enhanced coverage for pregnant women became effective on January 1, 2024.
Notice of Public Forum on Progress of the TennCare Demonstration - May 22, 2023
- 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.
Notice of Change in 1915(c) HCBS Waivers – Posted May 22, 2023
- Status: Public comment period is closed.
- Proposed Amendments to Tennessee’s Section 1915(c) Home and Community-Based Services Waivers - May 22, 2023
- Responses to Public Comment 2023 1915c Waiver Amendments FINAL
Notice of Change to the TennCare III Demonstration - Uncompensated Care Payments - January 20, 2023
- Status: Public comment period is closed.
- Draft Distribution Methodology for Uncompensated Care Payments - 2023
- Redline Distribution Methodology for Uncompensated Care Payments - 2023
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.
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 - February 19, 2021
- 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 - May 31, 2022
- 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 - 2022 - 2
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 - 2022 - 1
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 - June 4, 2021
- Status: Public comment period is closed.