TN · Medicaid jurisdiction

Tennessee Medicaid audit evidence

Review reports connected to Tennessee Medicaid oversight, ordered by publication date.

Evidence register

3 reports

Published: Sep 2026
Jurisdiction: Tennessee

Publishing agency: Office of Inspector General, Department of Health and Human Services
Report ID: REPORT 200

Tennessee Claimed Federal Medicaid Reimbursement for Millions of Dollars in Targeted Case Management Services That Did Not Comply With Federal and State Requirements

The OIG concluded that Tennessee claimed Federal Medicaid reimbursement for a subset of TCM services during FYs 2021–2023 that did not comply with Federal and State requirements, due to failure to verify eligibility for the designated target group and to assess TEIS cases prop…

Findings: 4
Recommendations: 2

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Source status: Library record

Published: Sep 23, 2026
Jurisdiction: Tennessee

Publishing agency: U.S. Department of Health and Human Services Office of Inspector General
Report ID: REPORT 202

Tennessee Claimed Federal Medicaid Reimbursement for Millions of Dollars in Targeted Case Management Services That Did Not Comply With Federal and State Requirements

Tennessee claimed Federal Medicaid reimbursement for some TCM services during the audit period that did not comply with Federal and State requirements.

Findings: 4
Recommendations: 2

Open evidence record

Source status: Original source

Published: Oct 14, 2024
Jurisdiction: Tennessee

Publishing agency: Tennessee Comptroller of the Treasury, Division of State Audit
Report ID: REPORT 70

Performance Audit of Selected Programs and Activities of the Division of TennCare

The Division of TennCare has made progress in implementing TennCare III initiatives, unwinding renewals, and maintaining cybersecurity controls, but faces ongoing risks in behavioral health provider network adequacy, HCBS transition data issues, and MMIS modernization complexi…

Findings: 5
Recommendations: 6

Open evidence record

Source status: Original source