Plain English Breakdown
Checked against official source text during the last sync.
TennCare Air Ambulance Reimbursement Act
This bill requires TennCare to pay air ambulance services at least 67.5% of Medicare's rate for emergency and nonemergency care provided to TennCare recipients.
What This Bill Does
- Requires the bureau of TennCare to reimburse public or private air ambulances that provide covered emergency or nonemergency services to TennCare members.
- Sets a minimum reimbursement rate at 67.5% of Medicare's allowable charge for participating providers.
- Applies this new rule starting from when the bill becomes law.
Who It Names or Affects
- TennCare recipients who need air ambulance services
- Public and private air ambulance companies in Tennessee
Terms To Know
- TennCare
- The state's Medicaid program that provides health care coverage to low-income individuals, families, children, seniors, and people with disabilities.
- Medicare
- A federal health insurance program for people aged 65 or older, certain younger people with disabilities, and those with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant).
Limits and Unknowns
- The bill does not specify how the increased costs will be funded.
- It is unclear if this change will affect other aspects of TennCare's budget.