Bill > HB0602

This bill, known as the "Medicaid Buy-In Act," aims to establish a Medicaid buy-in program in Tennessee. The key provisions include: 1. The Department of Finance and Administration must create a Medicaid buy-in plan by July 1, 2022, and offer it for purchase to residents who are ineligible for Medicaid, Medicare, or premium tax credits under the Affordable Care Act, and whose employer has not denied them employer-sponsored health insurance coverage. 2. The Medicaid buy-in plan must comply with federal and state nondiscrimination laws and provide a comprehensive set of benefits, including ambulatory services, emergency care, hospitalization, maternity and newborn care, mental health and substance abuse treatment, prescription drugs, and other essential health services. 3. The Department must pursue available federal funding and seek necessary waivers from the Centers for Medicare and Medicaid Services to establish and operate the Medicaid buy-in program. 4. The Department must coordinate the Medicaid buy-in plan with traditional Medicaid and private health insurance to ensure continuity of coverage for residents. 5. The Medicaid buy-in plan must use the Medicaid fee schedule for provider reimbursement rates, and the Department may increase these rates if funds are available and it does not negatively impact the sustainability of the Medicaid buy-in plan or the traditional Medicaid program. 6. The Department must create a system for residents to apply, enroll, and renew their participation in the Medicaid buy-in plan, as well as a consumer outreach program to raise awareness and assist residents with enrollment.

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https://wapp.capitol.tn.gov/apps/Billinfo/default.aspx?BillNumber=HB0602&ga=112