On Dec. 1, 2016, the Tennessee Division of Health Care Finance and Administration (HCFA) launched Tennessee Health Link, along with TennCare’s three contracted managed care organizations (MCOs) and 21 Health Link organizations.
The primary objective of Tennessee Health Link is to coordinate healthcare services for TennCare members with the highest behavioral health needs. Through better coordinated behavioral and physical health services, the Health Link program is designed to produce improved member outcomes, greater provider accountability and flexibility when it comes to the delivery of appropriate care for each individual and improved cost control for the state.
Health Link providers commit to providing comprehensive care management, care coordination, referrals to social supports, member and family support, transitional care, health promotion, and population health management. Participating providers receive training and technical assistance, quarterly reports with actionable data, and access to the care coordination tool. These providers are compensated with financial support in the form of activity payments and an opportunity for an annual outcome payment based on quality and efficiency performance. HCFA now is accepting applications for additional Health Link organizations to begin participation on Jan. 1, 2018. The application and information about the program may be found at the HCFA website. These applications will be reviewed by HCFA staff and additional Health Links may be designated.
Hospitals should be aware that many individuals seen in emergency departments likely will be eligible for Tennessee Health Link services. Individuals in TennCare who have attempted suicide or self-injury, have homicidal ideation or have a new or existing diagnosis of bipolar disorder or schizophrenia are eligible. There also are other eligibility criteria if those are not met.
Because Health Link providers help coordinate community services, this service can be a great resource to hospitals and their patients. This list of Health Link Providers can help hospitals identify the provider(s) in their area to help facilitate referrals for Health Link services.
Questions about Tennessee Health Link should be emailed to firstname.lastname@example.org.
For additional information, contact Mike Dietrich at THA, 615-401-7459.