Tag Archives: TennCare

TennCare is developing a multi-sector plan for aging to address the needs of older people, disabled people, and family caregivers. TennCare Aging Commission Liaison Anna Lea Cothron said by 2030, the Upper Cumberland will be one of the oldest regions in the state. She said data has been collected regarding what aging initiatives already exist and where there is room ... Read More »

Cookeville Regional Medical Center will undergo consulting services from Clinical Intelligence to redesign and improve case management. CEO Buffy Key said the consultants will put processes in place to help the hospital’s Case Management Department get patients out to continuums of care as soon as a patient is ready. Key said this would be a year-long process with the potential ... Read More »

UCHRA Board Chairman Randy Heady said the region’s success relies on collaboration between county mayors. Heady addressed the board at Thursday’s End-Of-Year Board Meeting. Heady said county mayors need to pretend that there are no borders between cities and counties. “We need to work together,” Heady said. “We’re going to be stronger as an Upper Cumberland region. We have one ... Read More »

TennCare renewals will restart in April after being suspended since the pandemic. Congress voted to resume renewals which will require beneficiaries to reverify their status. TennCare Communications Director Amy Lawrence said members can prepare now by making sure the organization has the correct information. “This will be a big impact for a lot of Tennesseans. We cover about 50 percent ... Read More »

The January 15th deadline is approaching to enroll in 2022 health insurance plans. The Tennessee Healthcare Campaign is an organization that aims to help those who are underserved in the community find a health care plan they can afford. Outreach Coordinator Tom Savage said that some 48 percent of people in the area don’t have coverage. “Right now it is ... Read More »

A Warren County woman arrested Thursday on TennCare fraud and theft of services after allegedly reporting false information to the state. Thirty-year-old Jessica Tees faces felony charges. Tees lost custody to her children but allegedly continued reporting them as dependents for insurance benefits. As a result, TennCare paid more than $15,549 in fees and claims on her behalf. The theft ... Read More »

A Hilham man faces two felony charges of allegedly trying to defraud TennCare. 68-year-old Joseph Jones failed to disclose all his assets and resources in his joint application for Medicare and Medicaid, according to investigators. TennCare paid some $13,894 on medical claims. “The intentional omission of assets on an application for public health insurance benefits is a crime and will ... Read More »

Help for affordable health care is available in the Upper Cumberland through the Tennessee Healthcare Campaign. Campaign Organizer Thomas Savage said 44 percent of people in Putnam, Overton, Clay and Cumberland Counties have no insurance or use the Affordable Care Act. Savage said that open enrollment has been extended until August 15. “This new Tennessee Healthcare Campaign under the Rescue ... Read More »

A Smithville man has been charged with TennCare fraud after allegedly reporting to the state he had custody of his child to get benefits. 34-year-old Grant Lynch faces charges of fraud and theft of services. Both are class D felonies. “Providing false information in order to receive TennCare benefits will not be tolerated in the state of Tennessee,” Inspector General ... Read More »

Tennessee Legislators will be getting to work this week on a first in the nation Medicaid Block Grant Waiver for TennCare. Senator Paul Bailey sponsored the original $8.6 billion Medicaid Block Grant Waiver in 2019. Bailey said the federal government accepted this waiver because of Tennessee’s track record of consistently saving money for Medicaid, by spending less. He said it ... Read More »