If you have questions or need a copy of your assessment payment report, contact Keith Douglas – TASA Admin Liaison at kdouglas@tennesseeambulance.com
For information about how the program works, please view the Frequently Asked Questions
Updates
February 12, 2025: The payment reports for the SFY25 Q2 TennCare supplemental payments were sent out by email yesterday. TennCare has instructed the MCO’s to make these payments by February 28, 2025. After sending out the payment notices yesterday, several providers identified a significant decrease in their payment numbers compared to previous quarters. I brought this to the attention of TennCare and they immediately reached out to the MCO’s. According to TennCare, BlueCare responded saying “Blue had a large number of denied claims during the 4th quarter 2024. However, there will be an increase of encounters to be submitted in the 1st quarter 2025 submission.”. Based on this information, it appears that there were a large number of claims that did not qualify for the supplemental payment due to denials but are being corrected/resubmitted and should result in a significant increase in qualifying claims for the next reporting quarter (SFY25 Q3).
January 16, 2025: The SFY25 Q2 MCO supplemental payments are expected to begin arriving middle to late February 2025.
December 15, 2024: The SFY25 Q2 assessment invoices have been mailed to EMS services by TennCare. Payments are due by January 15, 2025 to avoid the $50/day penalty.
October 4, 2024: The SFY25 Q1 assessment invoices have been mailed to EMS services by TennCare. Payments are due by October 30, 2024 to avoid the $50/day penalty.
July 15, 2024: The SFY24 Q4 assessment invoices have been mailed to EMS services by TennCare. Payments are due by August 8, 2024 to avoid the $50/day penalty.
Payment reports for SFY24 Q4 have not yet been received. However, TennCare advises they should have those available the week of July 22, 2024. As soon as they are received we will mail/email those to providers.
May 23, 2024: The SFY24 Q3 payment reports have been emailed and mailed to EMS services.
May 13, 2024: The SFY24 Q3 assessment invoices have been mailed to EMS services by TennCare. Payments are due by June 12, 2024 to avoid the $50/day penalty.
April 4, 2024: Cost & Utilization Report Training
The PowerPoint slides and recordings of the trainings conducted over the last two weeks have been posted to our website and can be accessed here: https://myersandstauffer.com/client-portal/tennessee/#toggle-id-4
Please reach out should you have any questions.
Thank you,
TN EMT
PH: 800.374.6858
www.myersandstauffer.com
February 26, 2024: TennCare has sent out notices for the 2024 Ground Assessment Cost & Utilization Report. Reports are due by May 31, 2024 to avoid the $100/day penalty.
- 2024 Ambulance Assessment Revenue Report Memo 02.26.2024
- TN EMS Web Portal Training 3-20-24 at 1pm CT
- TN EMS Cost & Utilization Report Training 3-27-24 at 1pm
- Web Portal Registration Form
- EMS COST & UTILIZATION REPORT TEMPLATE_v.1.5
- Myer & Stauffer website
February 14, 2024: The SFY24 Q2 assessment invoices have been mailed by TennCare. Payments are due by March 15, 2024 to avoid the $50/day penalty.
February 10, 2024: The SFY24 Q2 payment reports have been emailed and mailed.
November 19, 2023: The SFY24 Q1 payment reports have been mailed.
November 6, 2023: The SFY24 Q1 invoices have been mailed by TennCare (payments are due 11-29-2023). We are waiting on the payment reports to be completed (possibly by the end of this week). We will mail the payment reports as soon as we receive them from TennCare.
August 10, 2023: The SFY23 Q4 payment notices have been mailed. We expect MCO payments to be made within the next few weeks.
July 28, 2023: The TennCare staff advises that they have been delayed in producing the SFY23 Q4 payment reports because of staffing issues. We don’t believe this will delay actual payments from the MCO’s – only the payment reports that we send to each provider.
July 10, 2023: The SFY23 Q4 invoices have been mailed by TennCare (payments are due 8-14-2023). We will mail the payment reports as soon as we recieve them from TennCare.
May 24, 2023: SFY23 Q3 invoices and payment reports have been mailed. Invoice payment are due by June 21, 2023 to avoid penalties.
March 1, 2023: The SFY23 Q2 payment reports and invoices are being mailed.
December 30, 2022: The SFY23 Q1 payment reports and invoices have been mailed.
MCO payment per qualified claim = $229.50 (July-September 2022)
Assessment (invoice) = total number of emergency responses that resulted in a transport for calendar year 2021 divided by 4, multiplied by $20.43. This should be the same amount for all 4 quarters of SFY23.
Reminder: Invoices must be paid on or before the due date. Unpaid balances are subject to a $50/day penalty.
October 25, 2022: TennCare discovered an error on the Ground Ambulance Assessment MCO SFY22 Q4 Payment Reports. TennCare has forwarded corrected SFY22 Q4 MCO payment reports for the Ground Ambulance Assessment Program. Apparently BlueCare East numbers were reported incorrectly.
October 7, 2022: On Thursday October 6, 2022 we received word from TennCare that they had completed the necessary data collection to re-launch the assessment program. TennCare will be sending a memo to providers today announcing the re-launch of the program.
According to TennCare, the first assessments (invoices) and payments (aka kicker payments) will cover SFY Q3 & Q4 (Jan-Mar & Apr-Jun 2022) and providers should begin receiving payments and invoices before the end of October.
November 11, 2021: TennCare assessment invoices and kicker payments for State Fiscal Year 2022 – Quarter 1 are being received. We mailed the MCO kicker payment reports provided by TennCare this week. If you would like to have your report(s) emailed, please send an email with your request to kdouglas@tennesseeambulance.com
- The assessment invoices are based on the number of transports reported by your service on your 2020 State EMS Audit. This number is then divided by 4 to get your invoice amount for SFY22 Quarter 1 assessment.
- Your kicker payments are based on your “paid” TennCare claims for July 1 – September 30, 2021.
September 8, 2021: I’ve been receiving a lot of calls asking about the Myers & Stauffer Statlog portal for the TennCare Assessment program. The portal has three upload items listed. After speaking with TennCare last week, I have confirmed that ONLY the Ambulance Revenue Report is required at this time.
- Ambulance Revenue Report (required)
- Working Trial Balance (not required at this time)
- Transport Log Summary (not required at this time)
August 15, 2021: TennCare kicker payments for State Fiscal Year 2021 – 4th Quarter have been processed and should be received by providers over the next week or so. Additionally, 3rd quarter corrections have been made and should also be received by those providers who had payment errors in Q3 and are referenced as “Q3 Settlement Payment”. Reports for these payments are being mailed out by TASA to providers on Monday August 16th.
July 13, 2021: TennCare assessment invoices and kicker payments for State Fiscal Year 2021 – Quarter 3 are being received. We will be mailing MCO kicker payment reports as soon as they are provided by TennCare. If you would like to have your report(s) emailed, please send an email with your request to kdouglas@tennesseeambulance.com
- 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 3 assessment.
- Your kicker payments are based on your “paid” TennCare claims for April 1 – June 30, 2021.
June 15, 2021: TennCare is implementing a web portal for reporting required annual revenue reports for the Ground Ambulance Assessment Program. This portal may also become the source for collecting quarterly transport data.
If you have not enrolled in the web portal access – please do so ASAP. You’ll need to complete the Web Portal Registration Form and email it to TNEMT@mslc.com
June 14, 2021: TennCare assessment invoices and kicker payments for State Fiscal Year 2021 – Quarter 3 are being received. To request a copy of your Q3 payment summary by MCO, please email Keith Douglas at kdouglas@tennesseeambulance.com
- 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 3 assessment.
- Your kicker payments are based on your “paid” TennCare claims for January 1 – March 31, 2021.
Frequently Asked Questions
Requirement of Invoice Payments:
- Per TN Code Annotated § 71-5-1506. Policy Measures to Ensure Enforcement and Compliance — Penalties — Quarterly Transport Count Data
- The bureau has the authority to create policy measures that ensure the enforcement and compliance of this part. The bureau shall require an ambulance provider that fails to pay an assessment due under this part to pay the bureau, in addition to the assessment, a penalty of fifty dollars ($50.00) per calendar day for each day the assessment remains unpaid in full after the date due. The bureau may waive penalties for a delinquent provider if the provider has entered into a payment plan approved by the bureau. If the provider fails to comply with the terms of the payment plan, then the bureau may reinstate the waived penalties. Other enforcement measures determined by the bureau include, but are not limited to, recoupments, withholding of future payments, and loss of Medicaid ID.