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- December 2, 2022
Managed Care Sanctions: An Important Tool for Accountability
Read moreThis report is part of the National Health Law Program’s ongoing work on accountability in Medicaid managed care, focusing on sanctions, which are one of the tools available to states to hold managed care organizations (MCOs) accountable for failing to meet their obligations. Our research indicates that the states…
- March 29, 2022
McCutchen v. Becerra, D.D.C.
Read moreThirteen Medicaid enrollees, a pediatrician, and the Tennessee Justice Center are challenging the approval of the TennCare III project as a violation of the APA. The approval caps the amount of federal funding available to the State, continues Tennessee's decades-long waiver of retroactive coverage, and permits the State to…
- May 26, 2020
A.M.C. v. Smith, Middle District of Tennessee
Read moreThirty-five children and adults from across Tennessee brought a class action challenging the State for wrongfully terminating people’s health insurance under Tennessee’s Medicaid program, known as TennCare. The Plaintiffs allege that TennCare’s system for reevaluating eligibility is defective and fails to provide the notice and opportunity for hearing required…
- December 23, 2019
Letter to CMS Requesting Extension for TennCare II Demonstration Comment Period
Read moreOn Monday, December 23, 2019, the National Health Law Program sent a letter to CMS Administrator Seema Verma asking her to extend the public comment period for Tennessee’s section 1115 waiver application that seeks to transform the State’s Medicaid program into a block grant. The CMS comment site is…
- December 19, 2019
NHeLP Comments to Tennessee TennCare II Amendment 42 Waiver Application
Read moreNHeLP comments to Tennessee's 1115 waiver project requesting to implement a Medicaid block grant.
- November 26, 2019
Letter to CMS Concerning TennCare II Demonstration
Read moreIn a letter to administrator Seema Verma, the National Health Law Program has asked CMS to return Tennessee’s recently submitted section 1115 application to the State. Tennessee says the proposal would create a block grant. However, the NHeLP letter says the proposal is so short on specifics and is…
