An email was sent last week to each ground ambulance provider that had qualifying transports for the assessment (invoice) portion of the program. It is anticipated that invoices will be sent out this week or next. Additionally we anticipate that MCO directed payments will be sent to providers by the 2nd week of June. These payment reports will be emailed and mailed once received from TennCare.

Assessment (invoice) calculation:

• total number of “emergency” responses that resulted in a transport (Oct 1 – Dec 31, 2023)
• multiply by $20.00
• payment must be received by the invoice due date to avoid penalties ($50 per day)

MCO Directed Payment calculation:

• total number of PAID TennCare claims (Jan 1 – Mar 31, 2024)
• only claims with HCPCS codes – A0225, A0427, A0429, A0433, A0434
• multiply by $229.50
• paid to provider though same means as regular claims remittance payments (i.e. check, ACH)