Redetermination Update
With four months until the end of the calendar year, there are still a large number of Medicaid redeterminations requiring submission in order to ensure the continuation of Medicaid-funded services for persons enrolled in the DIDD waivers. It is absolutely essential that people, families, providers, ISCs, and DIDD continue to work together to ensure 100 percent completion by the end of the year.
As of the last reporting period, 26 percent of Medicaid Redeterminations have been completed and submitted to Maximus, TennCare’s contractor for Medicaid financial eligibility reviews. Thank you to everyone involved who has assisted in the submission of these in a timely manner.
ISC agencies are continuing to communicate with persons, families, and providers to complete a redetermination for everyone who does not currently receive standalone Supplemental Security Income (SSI). DIDD cannot overstate the importance of completing all outstanding redeterminations. Failure to submit a fully completed redetermination application to Maximus in a timely manner will result in the person being disenrolled from DIDD waivers, and there is no option for re-admittance to DIDD waivers should a person be disenrolled.
Each ISC agency is required to submit information to the regional offices, including the date completed and date faxed to Maximus by the 10th of each month for review. Regional and Central Office staff are compiling information submitted and will reach out to ISC agencies for additional information or clarification where necessary. ISC or Providers who have questions about the process may contact the following persons:
East Regional Office:
Christie Ellis
423-634-2415
Middle Regional Office:
Lucretia Baxa
615-884-4314
West Regional Office:
Linda Hall
901-745-7553
Central Office:
Annette Caldwell Binkley
615-532-3245
Timothy Hickman
423-787-6451