System Messages
state of implementation
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22% progress
Based on documents submitted on State Refor(u)m, Tennessee has made 22 percent progress by completing 2 milestones toward the category: Benefit Design
Implementation Milestone Checklist
- Assess the benefit packages in the state's public and private insurance programs to determine the current state of the market
- Compare current state benefit mandates with the essential health benefit package and identify any needed changes
- Compare current Medicaid benefits with new federal Medicaid requirements and make any necessary changes
- Establish benchmark coverage for the Medicaid expansion population consistent with federal laws and regulations
- Decide whether to offer a state basic health program to people not eligible for Medicaid with household income of 133% - 200% FPL
- Develop a strategy to increase the proportion of Medicaid long term care spending devoted to home and community-based care
- Decide whether to pursue continuity in benefit design across Medicaid, CHIP, the basic health program, and private insurance
- Decide whether to use value-based insurance design that varies patient cost sharing to correspond with clinical benefit
- Decide whether to adopt the new Medicaid options for financing home and community-based long-term services and supports