Medicaid for Home Care in Tennessee

Medicaid Certified Home Care Agency in Tennessee

Every homecare agency needs to be certified as an HHA (Home Health Agency) for claiming Medicaid of Tennessee. The claims would be based on the agency’s compliance with the guidelines offered by their the state. Moreover, the state can exempt some agencies delivering non-medical services as per the information mentioned in the state’s Department of Human Services or Bureaus of Licensing and Certification.

Governing Body: Long-Term Services & Supports

Overview:

Medicaid in Tennessee is called TennCare and offers health care coverage to seniors, pregnant women, children, parents, caregivers, and disabled people. However, it does not provide coverage to all low-income individuals.

Medicaid Programs:

  • TennCare Standard
  • TN Breast and Cervical Screening Program
  • CHOICES in Long Term Care

Income Requirements:

  • For pregnant women, income up to 195% FPL ($31,668 per year) for a family of two and $47,970 per year for a family of four
  • For parents/caretakers, monthly of $1,026 per month for a family of one and $2,091 per month for a family of four
  • For seniors, blind or disabled people, an income of $750 per month and resource limit of $2,000 for a family of one, and income of $1,125 per month and resource limit of $3,000 for a family of two

Application Process:

The application process for accessing Medicaid for Tennessee residents is easy, and anyone can apply for the available Medicaid programs by visiting Division of TennCare.

Medicaid with CareSmartz360

Home care businesses require advanced solutions to integrate Medicaid into their services, and Caresmartz has been doing that across the states for home care agencies, private-duty care providers, and home care franchisors for several years. CareSmartz360 is a complete software solution to manage a home care business, and it supports all Medicaid payers, allowing businesses to focus on other operations and processes.

  • Effective and comprehensive management of the revenue cycle.
  • Allows agencies to fulfill billing requirements for Medicaid, Medicare, Insurance, and Private Pay.
  • Built-In feature to submit claims electronically.
  • Quickly create, review, approve and submit claims in paper invoice or 837P, 837I format.
  • Helps in generating error-free claims to save time and efforts.
  • Identify and manage accounts and claims that are overdue.
  • Robust reporting to evaluate financial performance.
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50-State Medicaid Guide

Be Medicaid Ready with CareSmartz360
  • Create, Review & Approve Claims
  • Automatic Claim Submission
  • Supports All Medicaid Payers
  • Error-free Claims to Avoid Denials
  • Claims submission in 837P, 837I format

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