The payment reports for the SFY25 Q2 TennCare supplemental payments were sent out by email yesterday (2-11-25). 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).