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TennCare III (subsumes TennCare II)

State: Tennessee
Waiver Authority:
1115
Status: Pending

Waiver Dates

Approval: 01/08/2021
Effective: 01/08/2021
Expiration: 12/31/2030

Supporting Documents

Pending Application(s) and Related Documents

Date Title View
10/29/2024 Pending Application - Amendment 7 (PDF, 4.43 MB) View/Submit Comments
08/21/2024 Pending Application - Amendment 6 (PDF, 9.54 MB) View/Submit Comments
12/28/2018 Pending Application – Community Engagement Amendment 38 (PDF, 29.66 MB) View/Submit Comments
08/10/2018 Pending Application - Amendment 36 (PDF, 599.27 KB) View/Submit Comments

Approved Application(s) and Related Documents

Date Title
08/26/2025 Demonstration Approval – Monitoring Protocol (PDF, 23.62 MB)

Administrative Record

Date Title View
08/25/2025 CMS Approved Monitoring Protocol (Part A) (XLSX, 166.54 KB)
07/29/2025 State Withdrawal Letter - Amendments 1 and 2 (PDF, 143 KB)
07/07/2025 State Acceptance Letter - Amendment 7 (PDF, 78.35 KB)
06/25/2025 Monitoring Redesign Overlay Letter (PDF, 20.96 MB)
06/20/2025 State Quarterly Report – January to March 2025 (PDF, 612.51 KB)
06/10/2025 CMS Acknowledgment of CHOICES Benefits Additions (PDF, 35.96 MB)
06/07/2025 Demonstration Action - Amendment 7 (PDF, 21.36 MB)
01/08/2025 Acknowledgment Letter of State Updates to Uncompensated Care Payments Distribution Methodology (PDF, 421.98 KB)
12/04/2024 State Quarterly Report – July to September 2024 (PDF, 518.54 KB)
11/22/2024 CMS Approved Evaluation Design (PDF, 1.22 MB)
11/07/2024 CMS Completeness Letter - Amendment 7 (PDF, 172.52 KB)
10/09/2024 Technical Corrections - Amendment 5 (PDF, 27.56 MB)
10/01/2024 State Annual Report - January 2023 to December 2023 (PDF, 9.66 MB)
10/01/2024 State Quarterly Report - April 2024 - June 2024 (PDF, 594.42 KB)
10/01/2024 State Quarterly Report - January 2024 - March 2024 (PDF, 519.9 KB)
08/28/2024 CMS Completeness Letter - Amendment 6 (PDF, 170.12 KB)
06/21/2024 CMS Letter to State (PDF, 359.92 KB)
06/10/2024 State Acceptance Letter - Amendment 5 (PDF, 299.45 KB)
05/17/2024 Demonstration Approval – Amendment 5 (PDF, 38.42 MB)
04/15/2024 CMS Approved HCBS PHE Final Report (PDF, 557.03 KB)
04/15/2024 CMS Approved PHE Risk Mitigation Final Report (PDF, 609.17 KB)
02/27/2024 Acknowledgment Letter of State Updates to CHOICES and ECF Individual Expenditure Limits (PDF, 2.17 MB)
02/23/2024 CMS Approved Interim Evaluation Report (PDF, 2.74 MB)
01/05/2024 Acknowledgment Letter of State Updates to Uncompensated Care Payments Distribution Methodology (PDF, 604.48 KB)
12/21/2023 State Quarterly Report – July 2023 – September 2023 (PDF, 524.2 KB)
12/19/2023 CMS Acknowledgement of Pregnancy-related Eligibility Group Income Threshold Increase (PDF, 65.37 MB)
11/22/2023 CMS Completeness Letter – Amendment 5 (PDF, 174.3 KB)
11/13/2023 State Application – Amendment 5 (PDF, 5.24 MB) View Comments
10/27/2023 Amendment 3 Acceptance Letter  (PDF, 82.04 KB)
10/20/2023 Demonstration Approval – Amendment 3 (PDF, 20.93 MB)
09/05/2023 State Quarterly Report – April 2023 – June 2023 (PDF, 646.79 KB)
08/31/2023 State Acceptance Letter (PDF, 206.13 KB)
08/04/2023 Demonstration Approval – Amendment 4 (PDF, 20.84 MB)
06/06/2023 Budget Neutrality Report January - March 2023 (XLSM, 539.04 KB)
06/06/2023 State Quarterly Report – January 2023 – March 2023 (PDF, 512.31 KB)
04/07/2023 State Annual Report – January 2022 – December 2022 (PDF, 3.22 MB)
03/08/2023 Acknowledgment Letter of State Updates to Uncompensated Care Payments Distribution Methodology (PDF, 454.09 KB)
12/27/2022 CMS Acknowledgment of Adult Dental Coverage (Updated) (PDF, 42.1 MB)
12/27/2022 Demonstration Approval – Shared Savings and DSIP Protocols (PDF, 34.07 MB)
12/08/2022 CMS Acknowledgment of Adult Dental Coverage (PDF, 41.93 MB)
12/06/2022 Budget Neutrality Report July - September 2022 (XLSM, 539.74 KB)
12/06/2022 State Quarterly Monitoring Report - July – September 2022 (PDF, 383.58 KB)
10/27/2022 CMS Completeness Letter (PDF, 305.99 KB)
10/12/2022 State Application – Amendment 3 (PDF, 20.77 MB) View Comments
09/22/2022 CMS Acknowledgment of CHOICES At-Risk Demonstration Group New Enrollment (PDF, 19.53 MB)
09/02/2022 Budget Neutrality Report April - June 2022 (XLSM, 539.74 KB)
09/02/2022 CMS Completeness Letter (PDF, 316.45 KB)
09/02/2022 State Quarterly Monitoring Report - April – June 2022 (PDF, 395.43 KB)
08/30/2022 State Application – Amendment 4 (PDF, 29.63 MB) View Comments
07/27/2022 CMS Approved COVID-19 PHE HCBS Evaluation Design (PDF, 330.13 KB)
07/27/2022 CMS Approved Managed Care Risk Mitigation COVID-19 PHE Evaluation Design (PDF, 343.79 KB)
06/30/2022 CMS Letter to the State (PDF, 144.56 KB)
06/06/2022 Budget Neutrality Report January - March 2022 (XLSM, 535.7 KB)
06/06/2022 State Quarterly Monitoring Report January - March 2022 (PDF, 386.2 KB)
05/04/2022 State Acceptance Letter (PDF, 88.58 KB)
04/26/2022 CMS COVID-19 Approval (PDF, 5.12 MB)
04/13/2022 CMS Completeness Letter (PDF, 133.77 KB)
04/08/2022 Withdrawn Application - Amendment 2 (PDF, 18.36 MB) View Comments
04/07/2022 Annual Monitoring Report – January 2021-December 2021 (PDF, 9.29 MB)
04/07/2022 State Annual and Quarterly Monitoring Report - January - December 2021 (PDF, 9.29 MB)
04/04/2022 CMS Acknowledgment of Maternal Health Enhancements (PDF, 4.92 MB)
02/01/2022 State Acceptance Letter (PDF, 131.74 KB)
02/01/2022 State Acceptance of Managed Care Risk Mitigation COVID-19 amendment (PDF, 131.82 KB)
01/28/2022 Risk Mitigation Approval (PDF, 219.93 KB)
12/06/2021 State Quarterly Monitoring Report July - September 2021 (PDF, 454.88 KB)
12/01/2021 Budget Neutrality Report July - September 2021 (XLSM, 523.9 KB)
10/07/2021 Budget Neutrality Report April - June 2021 (XLSM, 524.5 KB)
10/07/2021 Budget Neutrality Report January - March 2021 (XLSM, 523.78 KB)
08/31/2021 State Quarterly Monitoring Report April - June 2021 (PDF, 367.64 KB)
08/10/2021 CMS Letter to State regarding new public comment period for TennCare III (PDF, 178.92 KB)
07/15/2021 SUD Amendment Request Withdrawal Letter (PDF, 90.31 KB)
04/14/2021 CMS Completeness Letter - TennCare III Amendment 1 (PDF, 205.54 KB)
03/31/2021 Withdrawn Application - Amendment 1 (PDF, 26.94 MB) View Comments
03/01/2021 Budget Neutrality Report October - December 2020 (XLSM, 548.48 KB)
03/01/2021 State Quarterly Report Apr-Jun 2021 (PDF, 367.64 KB)
02/12/2021 CMS Letter to State (PDF, 38.6 KB)
01/20/2021 CMS Approval, August 10, 2021 with Public Comment (PDF, 1.56 MB) View Comments
01/08/2021 CMS Demonstration Approval (PDF, 3.6 MB)
01/08/2021 Letter from State - Rescinded (PDF, 882.7 KB)
11/25/2020 Budget Neutrality Report July - September 2020 (XLSM, 548.48 KB)
11/25/2020 State Quarterly Report - Jul 2020 – Sept 2020 (PDF, 2.36 MB)
11/02/2020 CMS Approval - TennCare II Amendment (PDF, 1.79 MB)
10/22/2020 State Annual Report - July 1, 2019 – June 30, 2020 (PDF, 3.63 MB)
09/25/2020 Budget Neutrality Report April - June 2020 (XLSM, 546.36 KB)
08/28/2020 State Quarterly Report - April 2020 – June 2020 (PDF, 2.33 MB)
06/30/2020 CMS Amendment Approval (PDF, 1.76 MB)
06/30/2020 Medication Therapy Management Extension Approval (PDF, 1.88 MB)
06/19/2020 CMS Approval - Appendix K Update (PDF, 2.03 MB)
05/29/2020 Budget Neutrality Report January - March 2020 (XLSM, 498.55 KB)
05/29/2020 State Quarterly Report - Jan 2021 – Mar 2021 (PDF, 342.27 KB)
05/29/2020 State Quarterly Report - Oct 2020 – Dec 2020 (PDF, 2.54 MB)
05/29/2020 State Quarterly Report – January – March 2020 (PDF, 391.13 KB)
03/31/2020 TennCare II Amendment 43 CMS Completeness Determination Letter (PDF, 135.95 KB)
03/18/2020 TennCare II Amendment 43 Medication Therapy Management Pilot Extension (PDF, 290.01 KB) View Comments
02/28/2020 Budget Neutrality Report October- December 2019 (XLSM, 498.38 KB)
12/27/2019 Budget Neutrality Report July - September 2019 (XLSM, 495.61 KB)
11/27/2019 State Application - Amendment 42 Block Grant (PDF, 1.18 MB) View Comments
11/27/2019 State Quarterly Report - July-September 2019 (PDF, 2.36 MB)
11/26/2019 TennCare II Amendment 42 CMS Completeness Determination Letter (PDF, 954.17 KB)
10/30/2019 TennCare II Amendment 41 CMS Completeness Determination Letter (PDF, 913.97 KB)
10/24/2019 Amendment 41 Uncompensated Care Pools Application (PDF, 1.42 MB) View Comments
10/01/2019 TennCare II Amendment 40 CMS Completeness Determination Letter (PDF, 904.96 KB)
09/20/2019 State Application - Amendment 40 Kate Beckett (PDF, 1.65 MB) View Comments
08/29/2019 TennCare II Quarterly Report: April-June 2019 (PDF, 690.63 KB)
07/26/2019 Amendment 37 Acceptance Letter (PDF, 97.36 KB)
07/02/2019 ECF CHOICES Amendment Approval (PDF, 2.58 MB)
05/30/2019 Amendment 39 Withdrawal Letter (PDF, 82.14 KB)
05/30/2019 TennCare II Quarterly Report: Jan-March 2019 (PDF, 574.52 KB)
04/23/2019 CMS Completeness Letter - Amendment 39 (PDF, 369.96 KB)
04/15/2019 Withdrawn Application – Amendment 39 (PDF, 4.48 MB) View Comments
03/01/2019 TennCare II Quarterly Report: October-December 2018 (PDF, 667.86 KB)
02/11/2019 TennCare II Annual Report: DY 16 (PDF, 5.6 MB)
02/04/2019 Evaluation Design Approval Letter (PDF, 1.04 MB)
01/08/2019 CMS Completeness Letter - Amendment 38 (PDF, 1.03 MB)
11/29/2018 TennCare II Quarterly Report: July-September 2018 (PDF, 656.19 KB)
11/21/2018 CMS Completeness Letter – Amendment 37 (PDF, 222.23 KB)
11/08/2018 State Amendment 37 Application (PDF, 994.06 KB) View Comments
11/06/2018 Amendment 33 Withdrawal Letter (PDF, 119.74 KB)
08/29/2018 TennCare II Quarterly Report: April-June 2018 (PDF, 660.62 KB)
08/24/2018 CMS Completeness Letter – Amendment 36 (PDF, 221.34 KB)
06/29/2018 TennCare II CHOICES Data Report (PDF, 93.06 KB)
06/29/2018 TennCare II Employment and Community First (ECF) CHOICES Data Report (PDF, 70.93 KB)
06/05/2018 CMS Completeness Letter – Amendment Request (PDF, 221.21 KB)
05/30/2018 TennCare II Quarterly Report: January-March 2018 (PDF, 546.45 KB)
05/25/2018 SUD Amendment Request (PDF, 475.67 KB) View Comments
03/01/2018 Quarterly Report October-December 2017 (PDF, 570.19 KB)
02/15/2018 CMS Completeness Letter – Amendment Request (PDF, 110.2 KB)
02/07/2018 Withdrawn Application – Amendment 33 (PDF, 580.65 KB) View Comments
02/01/2018 Amendment 32 Approval (PDF, 1.28 MB)
11/29/2017 Quarterly Report July-September 2017 (PDF, 546.54 KB)
10/27/2017 Annual Report July 2016-June 2017 (PDF, 2.67 MB)
09/21/2017 Complete Letter – Amendment 32 Request (9/21/2017) (PDF, 137.29 KB)
09/06/2017 State Amendment 32 Request (PDF, 230.45 KB) View Comments
08/29/2017 Quarterly Report April-June 2017 (PDF, 623.67 KB)
07/06/2017 TennCare Attachment C Technical Change – Private Duty Nursing Services (PDF, 144.87 KB)
05/30/2017 Quarterly Report January-March 2017 (PDF, 553.2 KB)
03/30/2017 Quarterly Report July-September 2016 (PDF, 515.72 KB)
02/28/2017 Quarterly Report October-December 2016 (PDF, 518.29 KB)
01/12/2017 Tennessee STC Acceptance and Technical Corrections Request (PDF, 1.57 MB)
12/28/2016 TennCare Title XXI Medicaid Expansion Children Annual Report 2016 (PDF, 628.52 KB)
12/16/2016 Demonstration Extension Approval (2016-2021) (PDF, 1.14 MB)
10/28/2016 Annual Report July 2015-June 2016 (PDF, 2.64 MB)
09/30/2016 Temporary Extension Letter (09/30/2016) (PDF, 67.37 KB)
09/26/2016 Beneficiary Survey 2016 (PDF, 319.71 KB)
09/26/2016 Quarterly Report April-June 2016 (PDF, 504.87 KB)
05/31/2016 Quarterly Report January-March 2016 (PDF, 503.11 KB)
03/04/2016 Supplemental Pool Report (03/04/2016) (PDF, 3.28 MB)
03/01/2016 Eligibility and Enrollment Study 2016 (PDF, 285.33 KB)
02/26/2016 Quarterly Report: Oct - Dec 2015 (02/26/2016) (PDF, 449.69 KB)
02/02/2016 Amendment 27 and 28 Approval (2/2/16) (PDF, 190.88 KB)
01/06/2016 Complete Letter - Extension Request (1/6/2016) (PDF, 40.02 KB)
12/22/2015 Pending Application – Extension Request (12/22/2015) (PDF, 5.31 MB) View Comments
11/30/2015 Quarterly Report - July - Sept 2015 (11/30/2015) (PDF, 493.14 KB)
11/20/2015 CMS Uncompensated Care Pool Letter (11/20/15) (PDF, 57.3 KB)
10/30/2015 Demo Year 13 State Annual Report - Draft (10/30/2015) (PDF, 4.18 MB)
10/14/2015 Amend 28 - CMS Complete Letter (10/14/2015) (PDF, 57.9 KB)
10/08/2015 State Amendment 28 Request (10/08/2015) (PDF, 342.75 KB) View Comments
09/04/2015 Demonstration Approval (09/04/2015) (PDF, 743.6 KB)
08/31/2015 Quarter Report: April–June 2015 (08/31/2015) (PDF, 501.19 KB)
08/12/2015 Amend 28 - Incomplete Letter (08/12/2015) (PDF, 106.36 KB)
07/07/2015 State Amendment 27 Request (07/07/2015) (PDF, 1.49 MB) View Comments
07/06/2015 Amend 27 - Completeness Letter (PDF, 91.36 KB)
06/23/2015 Amendment 18 and 24 Approval (06/23/2015) (PDF, 740.86 KB)
05/29/2015 Quarter Report: January–March 2015 (05/29/2015) (PDF, 524.06 KB)
05/15/2015 State Amendment 26 Request (05/15/2015) (PDF, 364.57 KB) View Comments
05/11/2015 Complete Letter (5/11/15) (PDF, 57.5 KB)
03/18/2015 Amendment Twenty Four Completeness Letter (03/18/2015) (PDF, 72.73 KB)
03/05/2015 Amendment 18 Application (03/05/2015) (PDF, 260.47 KB) View Comments
03/04/2015 Amendment 24 Application (03/04/2015) (PDF, 435.56 KB) View Comments
02/27/2015 Quarter Report: October–December 2014 (02/27/2015) (PDF, 505.18 KB)
11/28/2014 Quarter Report: July-September 2014 (11/28/2014) (PDF, 613.51 KB)
10/31/2014 Demonstration Year 12 Annual Report (10/31/2014) (PDF, 3.05 MB)
09/05/2014 CMS Approved STCs (09/05/2014) (PDF, 593.95 KB)
08/29/2014 April–June 2014 (08/29/2014) (PDF, 571.01 KB)
07/28/2014 Amendment Letter (07/28/14) (PDF, 196.63 KB)
05/30/2014 Quarter Report: January-March 2014 (05/30/2014) (PDF, 528.08 KB)
05/08/2014 Amendment Letter (05/08/14) (PDF, 284.3 KB)
04/25/2014 Withdrawal Letter (04/24/14) (PDF, 74.8 KB)
02/28/2014 Quarter Report: October-December 2013 (02/28/2014) (PDF, 1.21 MB)
01/27/2014 Amendment Letter (01/27/14) (PDF, 187.58 KB)
11/27/2013 Quarter Report: July-September 2013 (11/27/2013) (PDF, 505.22 KB)
10/31/2013 Demonstration Year 11 Annual Report (10/31/2013) (PDF, 3.3 MB)
10/15/2013 Letter regarding Revision to Transition Plan (10/15/13) (PDF, 267.49 KB)
08/30/2013 Quarter Report: April-June 2013 (08/30/2013) (PDF, 1.28 MB)
08/21/2013 TennCare Transition Plan (08/21/13) (PDF, 267.58 KB)
07/16/2013 Letter of Approval to Amend (07/16/13) (PDF, 228.26 KB)
07/16/2013 Letter of Approval to Amend (07/16/13) (PDF, 228.65 KB)
07/01/2013 Expenditure Authority (07/01/13-06/30/16) (PDF, 180.05 KB)
07/01/2013 Expenditure Authority (07/01/13-06/30/16) (PDF, 179.97 KB)
07/01/2013 Expenditure Authority (07/01/13-06/30/16) (PDF, 181.9 KB)
07/01/2013 Expenditure Authority (07/01/13-06/30/16) (PDF, 179.9 KB)
07/01/2013 Special Terms and Conditions (07/01/13-06/30/16) (PDF, 723.25 KB)
07/01/2013 Special Terms and Conditions (07/01/13-06/30/16) (PDF, 710.46 KB)
07/01/2013 Special Terms and Conditions (07/01/13-06/30/16) (PDF, 710.43 KB)
07/01/2013 Special Terms and Conditions (07/01/13-06/30/16) (PDF, 710.38 KB)
07/01/2013 TennCare Demonstration (07/01/13) (PDF, 245.26 KB)
07/01/2013 Waiver List (07/01/13-06/30/16) (PDF, 166.17 KB)
07/01/2013 Waiver List (07/01/13-06/30/16) (PDF, 179.9 KB)
07/01/2013 Waiver List (07/01/13-06/30/16) (PDF, 167.55 KB)
07/01/2013 Waiver List (07/01/13-06/30/16) (PDF, 167.44 KB)
06/07/2013 Letter Regarding Technical Corrections (06/07/13) (PDF, 231.58 KB)
05/31/2013 January–March 2013 (05/31/2013) (PDF, 1.23 MB)
04/26/2013 Letter Regarding TennCare II Demonstration (04/26/13) (PDF, 199.1 KB)
04/26/2013 Letter Requesting Withdrawal of Proposal (04/26/13) (PDF, 192.12 KB)
02/28/2013 October–December 2012 (02/28/2013) (PDF, 2.44 MB)
12/31/2012 Approval for Extension Letter (12/31/12) (PDF, 241.1 KB)
11/30/2012 July–September 2012 (11/30/2012) (PDF, 1.28 MB)
10/31/2012 Demonstration Year 10 Annual Report (10/31/2012) (PDF, 3.26 MB)
10/01/2012 Letter Requesting Approval (10/01/12) (PDF, 826 KB)
09/27/2012 Notification Letter (09/27/12) (PDF, 271.77 KB)
08/30/2012 April–June 2012 (08/30/2012) (PDF, 8.27 MB)
08/13/2012 Letter of Receival (08/13/12) (PDF, 266.49 KB)
07/16/2012 Letter of Receival (07/16/12) (PDF, 265.71 KB)
07/01/2012 Waiver List (07/01/12-06/30/13) (PDF, 167.55 KB)
06/29/2012 Bureau of TennCare Extension Request (06/29/12) (PDF, 3.42 MB)
06/29/2012 Letter Regarding Submitted Proposal (06/29/12) (PDF, 164.51 KB)
06/15/2012 Letter of Approval (06/15/12) (PDF, 326.75 KB)
07/01/2010 Special Terms and Conditions (07/01/10-06/30/13) (PDF, 782.02 KB)
Expenditure Authority (PDF, 178.72 KB)
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