TennCare Ground Ambulance Assessment Program – November 25, 2020
TennCare assessment invoices and kicker payments for State Fiscal Year 2021 – Quarter 1 are being received.
The assessment invoices are based on the number of transports reported by your service on your 2019 State EMS Audit. This number is then divided by 4 to get your invoice amount for SFY21 Quarter 1 assessment.
Your kicker payments are based on your “paid” TennCare claims for July 1 – September 30, 2020.
TennCare Increased Fee Schedule Update: On Wednesday September 16 we received word from TennCare that funding has been secured within the current budget to include dates of service back to April 3, 2020 for retroactive payments within the new TennCare reimbursement requirement of 67.5% minimum of the Medicare Fee Schedule.
However, before TennCare can begin issuing current and retroactive payments, CMS must approve the submitted waiver. Current best estimate on the approval timeline is the fall of 2020.
We are starting to formulate our 2021 Legislative priorities. Please forward any suggestions to your regional TASA representative.