TennCare Timeline: Major Events and Milestones from 1992 to 2016 Cyril F. Chang and Stephanie C. Steinberg The Methodist Le Bonheur Center for Healthcare Economics The University of Memphis September 2016 Methodist Le Bonheur Center for Healthcare Economics Fogelman College of Business and Economics The University of Memphis Phone: 901-678-3565 Fax: 901-678-2685 E-Mail:
[email protected] http://www.memphis.edu/mlche/index.php Suggested Citation: Cyril F. Chang and Stephanie C. Steinberg, “TennCare Timeline: Major Events and Milestones from 1992 to 2016,” Methodist Le Bonheur Center for Healthcare Economics, the University of Memphis, September 2016. (online) http://www.memphis.edu/mlche/index.php. TennCare Timeline: Major Events and Milestones from 1992 to 2016 What is TennCare? TennCare is Tennessee’s Medicaid managed care demonstration program. Beginning in 1994, this comprehensive health reform program has used the Medicaid program to both expand services to the Medicaid population and insurance coverage to individuals who are determined to be uninsured or uninsurable using a system of Managed Care Organizations (MCOs). The program is managed by the Bureau of TennCare under the direction of a Deputy Commissioner of Health (http://www.state.tn.us/tenncare/). The history, conceptual design, and modifications of this comprehensive reform program have been reviewed and analyzed by many of the studies referenced at the end of this report and the documents available at the Center for Medicare and Medicaid Services (CMS) Web site: http://www.cms.hhs.gov/medicaid/1115/tn1115tc.asp. Prelude to TennCare: In the early 1990s, states were increasingly required to expand their Medicaid programs with "unfunded" or "incompletely funded" federal mandates through their state budgets.