Tennessee – Medical Homes

Since 2008, the Bureau of TennCare (Tennessee’s Medicaid agency) has worked with the Tennessee Chapter of the American Academy of Pediatrics (TNAAP) to advance the medical home model in pediatric practices. In 2012, TNAAP launched the Tennessee Medical Home Project, a three-year education and training initiative to increase providers’ medical home capabilities and capacity to coordinate care for children and youth with special health care needs. TNAAP implemented the Tennessee Medical Home Project in partnership with the Tennessee Department of Children’s Special Services and Tennessee Voices for Children through Health Resources and Services Administration grant funding.

Tennessee is pursuing a multi-payer medical home initiative as part of its State Innovation Model Test Award (see below for additional information). According to the state’s proposal, there are more than 500 NCQA PCMH-recognized practices in the state and all of the major health plans have implemented a PCMH incentive program; however, providers have found it difficult to participate in more than one initiative due to the disparate program requirements and incentives set by each plan. TennCare (Medicaid) managed care plans and commercial payers will pilot a new multi-payer initiative with greater alignment across payers in 12 practices in Knoxville and Memphis before the program rolls out statewide.

Participation in Federal Initiatives

State Innovation Models Initiative: In December 2014, Tennessee received a two-year, $65 million Model Test Award to implement and test the Tennessee Health Care Innovation Initiative. Key features of Tennessee’s innovation plan include a multi-payer patient-centered medical home program for adults, a pediatric medical home initiative, and health homes for individuals with severe and persistent mental illness. Tennessee previously received a $756,000 Model Design Award to develop their plan.

Last updated: March 2015

Forming Partnerships The Tennessee Medical Home Project, which is primarily focused on children and youth with special health care needs, has been developed in partnership with:

  • The Bureau of TennCare;
  • The Tennessee Department of Children’s Special Services;
  • The Tennessee Department of Health
  • The Tennessee Chapter of the American Academy of Pediatrics;
  • Tennessee Voices for Children;
  • Family Voices of Tennessee; and
  • The Tennessee Pediatric Society Foundation.
Defining & Recognizing a Medical Home Definition:
The Tennessee Medical Home Project refers to both the definition of “medical home” set forth in the American Academy of Pediatrics’ 2009 Policy Statement as well as the Joint Principles of the Patient Centered Medical Home.
Supporting Practices
The Bureau of TennCare and the Tennessee Department of Children’s Special Services have partnered with the Tennessee Chapter of the American Academy of Pediatrics (TNAAP) and Tennessee Voices for Children to develop educational and training materials to support medical home implementation, particularly to serve children and youth with special health care needs. As part of this work, TNAAP has developed a website with resources and toolkits for practices; TNAAP has also held a series of online and in-person learning events.