Moving forward, if hospitals request an extension of these due to staffing shortages, overwhelmed hospital capacity or other factors, we’ll review on a case-by-case basis and make accommodations as appropriate. BlueCare suspended all medical record requests and audits for inpatient and outpatient facility claims, and postponed manual collection of medical records for HEDIS and in-office reviews for Quality and Value-based programs, through March 31, 2021.If a hospital requests to extend appeals timeframes past 180 days, we’ll approve reasonable requests on a case-by-case basis.We’ve permanently added flu testing and COVID-19 tests to BlueCare's exclusive lab exception list.BlueCare Tennessee is allowing flexibility to charge inpatient rates in the emergency department or other units where patients may need to be housed, based on intensity of service. ![]() 13, 2021, until March 31, 2022, BlueCare Tennessee waived the prior authorization requirement for initial post-acute care reviews (skilled nursing facility, rehab and LTACH) to support rapid placement and discharge of currently hospitalized patients who can be safely discharged to another setting. Click here for the latest information from the Centers for Disease Control and Prevention (CDC).įor more general information about coronavirus resources available to the public, you may also call the Tennessee Coronavirus Public Information Line at 1-87.ĭuring surges in COVID-19, we've taken significant steps to remove barriers for members to receive care while streamlining certain necessary requirements for our providers.Find updates from the Division of TennCare here. Read more about the State of Tennessee’s response to the disease on the Tennessee Department of Health website. ![]() ![]() We’d like to point you toward helpful resources, where you can get daily updates about providing treatment during the COVID-19 emergency:
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