Tennessee Department of Finance and Administration — Division of TennCare policy updates
Track new and updated Tennessee Department of Finance and Administration — Division of TennCare policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| ACLF Rate Change and 2026 Maximum Room and Board Charges for Persons Receiving Assisted Care Living Facility Services in the CHOICES Program | Tennessee Department Of Finance And Administration — Division Of TennCare | Reimbursement | — | Modified | Jan 1, 2026 |
| Erectile Dysfunction (ED) Medications | Tennessee Department Of Finance And Administration — Division Of TennCare | Clinical | Pharmacy & Specialty Drugs | Modified | Oct 28, 2025 |
| ACLF Rate Change and 2025 Maximum Room and Board Charges for Persons Receiving Assisted Care Living Facility Services in the CHOICES Program | Tennessee Department Of Finance And Administration — Division Of TennCare | Reimbursement | — | Modified | Jan 1, 2025 |
| ACLF Rate Change and 2024 Maximum Room and Board Charges for Persons Receiving Assisted Care Living Facility Services in the CHOICES Program | Tennessee Department Of Finance And Administration — Division Of TennCare | Reimbursement | — | Modified | Jan 1, 2024 |
| Opioid Criteria - Acute, Chronic, and Exceptions | Tennessee Department Of Finance And Administration — Division Of TennCare | Clinical | Pharmacy & Specialty Drugs | Modified | Sep 1, 2023 |
| Adult Dental Benefits for ECF CHOICES and 1915(c) Waiver Members | Tennessee Department Of Finance And Administration — Division Of TennCare | Administrative | — | Modified | Jan 1, 2023 |
| 2023 Maximum Room and Board Charges for Persons Receiving Assisted Care Living Facility Services in the CHOICES Program | Tennessee Department Of Finance And Administration — Division Of TennCare | Reimbursement | — | Modified | Jan 1, 2023 |
| 2022 Maximum Room and Board Charges for Persons Receiving Assisted Care Living Facility Services in the CHOICES Program | Tennessee Department Of Finance And Administration — Division Of TennCare | Reimbursement | — | Modified | Jan 1, 2022 |
| Revised Cost Neutrality Caps | Tennessee Department Of Finance And Administration — Division Of TennCare | Reimbursement | — | Modified | Jan 1, 2022 |
| Revised Expenditure Caps and Institutional Cost Limit | Tennessee Department Of Finance And Administration — Division Of TennCare | Reimbursement | — | Modified | Jan 1, 2022 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.