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Tennessee Draft of Medicaid Block Grant Proposal

November 6, 2019

Tennessee is proposing to convert the federal share of its Medicaid funding into a block grant. This is the draft proposal, "Amendment 42" of the TennCare II Demonstration

According to the executive summary, released September 2019,  "this innovative proposal reimagines the Medicaid financing structure in ways that emphasize state accountability for effective program management, while incentivizing performance and ensuring that financial responsibility for Tennessee’s Medicaid program continues to be equitably shared between the state and the federal government."