Annual Summer Weekend Seminar
Friday & Saturday, June 27-28, 2008
DoubleTree Hotel
Jackson, Tennessee
Please click here for program and registration form
60th Annual Scientific Assembly
Tuesday-Friday, October 28-31, 2008
Convention Center
Gatlinburg, Tennessee
Tuesday-Friday, October 28-31, 2008
Convention Center
Gatlinburg, Tennessee
STATE OF TENNESSEE
BUREAU OF TENNCARE
DEPARTMENT OF FINANCE AND ADMINISTRATION
310 Great Circle Road
Nashville, Tennessee
The Bureau of TennCare implemented an additional process on February 1, 2007 which will allow TennCare Enrollees who are subject to prescription limits to receive prescription over and above the monthly limit, i.e., more than 5 prescriptions per month or more than 2 brand name prescriptions per month.
The new process will be referred to as the Prescriber Attestation process. The new process applies only to drugs on the Prescriber Attestation List.
Please click here for Prescriber Attestation List
Information on Rule Change Related to Sports Physicals
Beginning with the 2008-2009 school year, rising 7th and 9th grade student athletes will be required to have a complete health maintenance exam (also known as a well-child check or EPSDT screen) prior to sports participation. For these two grades, the required clearance form must show that the student athlete has had the required health maintenance exam/EPSDT screen in addition to stating that the student is cleared for participation in sports.
Traditional sports physicals, which are appropriate for clearing athletes for sports participation, typically do not address the behavioral, emotional, and psychosocial topics covered during a comprehensive health maintenance exam. Given the number of chronic health problems rooted in childhood, it is important to tackle these problems early and a yearly exam provides a venue to address these areas.
Data suggest that for many children (as many as 78%), the sports physical is the only physical exam they receive all year. The medical literature also shows that adolescents are willing to talk with providers about issues such as stress, depression, and alcohol/tobacco use, but they do not believe that the sports physical (often done in a less private setting) is the appropriate setting for such conversations. Thus, when sports physicals are substituted for the complete health maintenance exam, there are many missed opportunities to address issues that are vital to the health of these students.
The required clearance form may be downloaded after May 1 from the Tennessee Department of Health (http://health.state.tn.us/), the TN AAP (http://www.tnaap.org/), the TN AFP (www.tnafp.org), the TN Primary Care Association (www.tnpca.org), or the Tennessee Medical Association (www.medwire.org).
FOR ADDITIONAL INFORMATION
--About service providers, EPSDT program:
Pam Baggett, Dept of Health: 615-532-3101
--About medical aspects of the rule change or medical questions related to physicals:
Dr. Michael Warren, GOCCC: 615-741-5192
--About processes related to local schools or the SBE:
David Sevier, SBE: 615-741-2966
--About athlete eligibility, which sports require clearance, or other sports questions:
TSSAA: 615-889-6740
For the Interscholastic Sports Examination Form, please click here
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Beginning with the 2008-2009 school year, rising 7th and 9th grade student athletes will be required to have a complete health maintenance exam (also known as a well-child check or EPSDT screen) prior to sports participation. For these two grades, the required clearance form must show that the student athlete has had the required health maintenance exam/EPSDT screen in addition to stating that the student is cleared for participation in sports.
Traditional sports physicals, which are appropriate for clearing athletes for sports participation, typically do not address the behavioral, emotional, and psychosocial topics covered during a comprehensive health maintenance exam. Given the number of chronic health problems rooted in childhood, it is important to tackle these problems early and a yearly exam provides a venue to address these areas.
Data suggest that for many children (as many as 78%), the sports physical is the only physical exam they receive all year. The medical literature also shows that adolescents are willing to talk with providers about issues such as stress, depression, and alcohol/tobacco use, but they do not believe that the sports physical (often done in a less private setting) is the appropriate setting for such conversations. Thus, when sports physicals are substituted for the complete health maintenance exam, there are many missed opportunities to address issues that are vital to the health of these students.
The required clearance form may be downloaded after May 1 from the Tennessee Department of Health (http://health.state.tn.us/), the TN AAP (http://www.tnaap.org/), the TN AFP (www.tnafp.org), the TN Primary Care Association (www.tnpca.org), or the Tennessee Medical Association (www.medwire.org).
FOR ADDITIONAL INFORMATION
--About service providers, EPSDT program:
Pam Baggett, Dept of Health: 615-532-3101
--About medical aspects of the rule change or medical questions related to physicals:
Dr. Michael Warren, GOCCC: 615-741-5192
--About processes related to local schools or the SBE:
David Sevier, SBE: 615-741-2966
--About athlete eligibility, which sports require clearance, or other sports questions:
TSSAA: 615-889-6740
For the Interscholastic Sports Examination Form, please click here
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Congratulations to Ryan Anne Cothron of Lafayette for placing 1st in the 2008 Tennessee Tar Wars State Poster Contest!
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From: Wendy Long, Bureau of TennCare
Re: National Provider Identification Number
Beginning January 2, 2008 TennCare requires the use of a National Provider Identifier (NPI) number on all claims submitted to TennCare's Managed Care Organizations.
As of January 2, 2008, MCO claims submitted without an NPI will be denied and must be resubmitted with an NPI before an MCO can pay the claim.
The federal government originally required all providers to secure an NPI by May 23, 2007. To help ease the transition, State Medicaid agencies were permitted to develop contingency plans that delayed implementation. Tennessee's contingency plan allowed claims payment without an NPI up to January 2, 2008.
All MCOs have notified their providers of this new requirement and it appears that the vast majority of providers have now obtained an NPI. Any provider still needing an NPI can establish one online at https://nppes.cms.hhs.gov.
Providers with questions concerning the new NPI rquirement should contact their MCO representative directly.
Thank you for your assistance in communicating with Tennessee health care providers.
Wendy Long, MD, MPH
Chief Medical Officer
Bureau of TennCare
AAFP NPI Link - http://www.aafp.org/online/en/home/practicemgt/regulatory-compliance/hipaa/natlproviderid/npidates.html