Ground Ambulance Assessment Program

If you have questions or need a copy of your assessment payment report, contact Keith Douglas – TASA Admin Liaison at kdouglas@tennesseeambulance.com or call 615-572-8017. View the Frequently Asked Questions


Updates

March 1, 2023: The SFY23 Q2 payment reports and invoices are being mailed.

December 30, 2022: The SFY23 Q1 payment reports and invoices have been mailed.

MCO payment per qualified claim = $229.50 (July-September 2022)

Assessment (invoice) = total number of emergency responses that resulted in a transport for calendar year 2021 divided by 4, multiplied by $20.43. This should be the same amount for all 4 quarters of SFY23.

Reminder: Invoices must be paid on or before the due date. Unpaid balances are subject to a $50/day penalty.


October 25, 2022: TennCare discovered an error on the Ground Ambulance Assessment MCO SFY22 Q4 Payment Reports. TennCare has forwarded corrected SFY22 Q4 MCO payment reports for the Ground Ambulance Assessment Program. Apparently BlueCare East numbers were reported incorrectly.

Read more….


October 7, 2022: On Thursday October 6, 2022 we received word from TennCare that they had completed the necessary data collection to re-launch the assessment program. TennCare will be sending a memo to providers today announcing the re-launch of the program.

According to TennCare, the first assessments (invoices) and payments (aka kicker payments) will cover SFY Q3 & Q4 (Jan-Mar & Apr-Jun 2022) and providers should begin receiving payments and invoices before the end of October.

Read more….


November 11, 2021: TennCare assessment invoices and kicker payments for State Fiscal Year 2022 – Quarter 1 are being received. We  mailed the MCO kicker payment reports provided by TennCare this week. If you would like to have your report(s) emailed, please send an email with your request to kdouglas@tennesseeambulance.com 

  • The assessment invoices are based on the number of transports reported by your service on your 2020 State EMS Audit. This number is then divided by 4 to get your invoice amount for SFY22 Quarter 1 assessment.
  • Your kicker payments are based on your “paid” TennCare claims for July 1 – September 30, 2021.

September 8, 2021: I’ve been receiving a lot of calls asking about the Myers & Stauffer Statlog portal for the TennCare Assessment program. The portal has three upload items listed. After speaking with TennCare last week, I have confirmed that ONLY the Ambulance Revenue Report is required at this time.

  • Ambulance Revenue Report (required)
  • Working Trial Balance (not required at this time)
  • Transport Log Summary  (not required at this time)
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August 15, 2021: TennCare kicker payments for State Fiscal Year 2021 – 4th Quarter have been processed and should be received by providers over the next week or so. Additionally, 3rd quarter corrections have been made and should also be received by those providers who had payment errors in Q3 and are referenced as “Q3 Settlement Payment”. Reports for these payments are being mailed out by TASA to providers on Monday August 16th.


July 13, 2021: TennCare assessment invoices and kicker payments for State Fiscal Year 2021 – Quarter 3 are being received. We will be mailing MCO kicker payment reports as soon as they are provided by TennCare. If you would like to have your report(s) emailed, please send an email with your request to kdouglas@tennesseeambulance.com 

  • The assessment invoices are based on the number of transports reported by your service on your 2019 State EMS Audit. This number is then divided by 4 to get your invoice amount for SFY21 Quarter 3 assessment.
  • Your kicker payments are based on your “paid” TennCare claims for April 1 – June 30, 2021.

June 15, 2021: TennCare is implementing a web portal for reporting required annual revenue reports for the Ground Ambulance Assessment Program. This portal may also become the source for collecting quarterly transport data.

If you have not enrolled in the web portal access – please do so ASAP. You’ll need to complete the Web Portal Registration Form and email it to TNEMT@mslc.com

Click here for more details


June 14, 2021: TennCare assessment invoices and kicker payments for State Fiscal Year 2021 – Quarter 3 are being received. To request a copy of your Q3 payment summary by MCO, please email Keith Douglas at kdouglas@tennesseeambulance.com 

  • The assessment invoices are based on the number of transports reported by your service on your 2019 State EMS Audit. This number is then divided by 4 to get your invoice amount for SFY21 Quarter 3 assessment.
  • Your kicker payments are based on your “paid” TennCare claims for January 1 – March 31, 2021.

Frequently Asked Questions


TennCare Policy on Delinquent Provider Payments