Modernizes TennCare reimbursements for key services to match Medicare or average commercial rates.
This bill, the Tennessee Medicaid Modernization and Access Act of 2025, updates TennCare reimbursements for key services to align with the Medicare fee schedule or average commercial rates, whichever is higher. Key services include obstetrics-gynecology, primary care, outpatient mental health, and substance use disorder treatment. The bill mandates annual reviews to ensure reimbursement rates stay current with changes in the Medicare fee schedule, average commercial rates, and the CMS 2024 final rule.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
See what it does, who it affects, and the critical issues in plain language. Free, 30 seconds.