TennCare’s opioid strategy is situated within a broad array of activities and programs across Tennessee. For more information about these programs and activities, please review the information below.
Maternal Opioid Misuse Grant
In December of 2019 Tennessee was one of ten states to receive the Centers for Medicare and Medicaid (CMS) Maternal Opioid Misuse (MOM) Model grant. The purpose of this Model is to assist states in combating the nation’s opioid crisis and address fragmentation in the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder (OUD).
Through this partnership TennCare and Vanderbilt University Medical Center work to engage women with opioid use disorder in treatment before and after pregnancy, maximize periods of maternal abstinence from illicit substances using evidence-based therapies, optimize the number of days an infant is with their biological mother by reducing infant hospital stays (birth, readmission, emergency department visits), and ensure connection to early intervention services for infants. The grant amount is approximately $5.3 million for a five-year performance period beginning January 2020.
- Press Release [December 2019]: Tennessee Receives Grant from Federal Government to Address Opioid Crisis
- Vanderbilt University Medical Center: Firefly
- Vanderbilt Center for Child Health Policy: Firefly
- Centers for Medicare & Medicaid Services: Maternal Opioid Misuse (MOM) Model
Tennessee Health Link
The primary objective of Tennessee Health Link is to coordinate health care services for TennCare members with the highest behavioral health needs. Each Tennessee Health Link organization is a team of professionals associated with a mental health clinic or other behavioral health provider who provides whole person, patient-centered, coordinated care for an assigned panel of members with behavioral health conditions. Members who would benefit from Tennessee Health Link will be identified based on diagnosis, health care utilization patterns, or functional need.
Tennessee Health Link providers commit to providing comprehensive care management, care coordination, referrals to social supports, member and family support, transitional care, health promotion, and population health management. Participating providers receive training and technical assistance, quarterly reports with actionable data, and access to the care coordination tool.
Patient-Centered Medical Home
Patient-Centered Medical Homes (PCMH) are a comprehensive care delivery model designed to improve the quality of primary care services for TennCare members, the capabilities of and practice standards of primary care providers, and the overall value of health care delivered to the TennCare population. PCMH providers commit to member centered access, team-based care, population health management, care management support, care coordination, performance measurement and quality improvement. Participating providers receive training and technical assistance, quarterly reports with actionable data, and access to the Care Coordination Tool.
TennCare Connect is an online tool for Tennesseans to apply for TennCare, CoverKids, and Medicare Savings Programs. TennCare Connect can be used by members to manage their coverage.
Tennessee Department of Mental Health and Substance Abuse
- Substance Abuse Prevention and Treatment Block Grant
- Peer Recovery Services
- Treatment and Recovery: Medication Assisted Treatment
- State Buprenorphine treatment guidelines