Annual Service Revenue Report Due October 31, 2020

All Tennessee ground ambulance providers must submit an annual revenue report to TennCare by October 31, 2020.
TennCare will be sending out reminders for Ground Ambulance Service Providers to complete this report.

All Tennessee ground ambulance providers must submit an annual revenue report to TennCare by October 31, 2020. This report is required by TennCare and the Comptroller’s office to comply with CMS rules for the Ground Ambulance Assessment Act (Enhanced Medicaid Reimbursement Program). Within the spreadsheet are instructions on the first tab and data entry fields on the second tab.

You MUST type your name in the “signature” line and enter the date on the “Revenue Report” tab before submitting the whole spreadsheet as an attachment to TennCare at TennCare.Assessments@tn.gov

Download the spreadsheet from HERE