THE CHATTANOOGA-HAMILTON COUNTY HOSPITAL AUTHORITY D/B/A ERLANGER HEALTH SYSTEM v. DIVISION OF TENNCARE, DEPARTMENT OF FINANCE AND ADMINISTRATION, ET AL. - Articles

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THE CHATTANOOGA-HAMILTON COUNTY HOSPITAL AUTHORITY D/B/A ERLANGER HEALTH SYSTEM v. DIVISION OF TENNCARE, DEPARTMENT OF FINANCE AND ADMINISTRATION, ET AL.

Posted by: Azya Thornton on May 21, 2025

Court: TN Court of Appeals

Attorneys 1: Jonathan Skrmetti, Attorney General and Reporter; J. Matthew Rice, Solicitor General; Reed N. Smith, Assistant Attorney General; and Meredith Wood Bowen, Senior Assistant Attorney General, for the appellants, Division of TennCare, Department of Finance and Administration; Stephen Smith, in his official capacity as Director of TennCare; and Jim Bryson, in his official capacity as Commissioner of the Tennessee Department of Finance and Administration.

Attorneys 2: Steven Allen Riley, Gregory S. Reynolds, James Nathaniel Bowen, II, Joshua S. Bolian, and Grace Cooley Peck, Nashville, Tennessee, for the appellee, The Chattanooga-Hamilton County Hospital Authority d/b/a Erlanger Health System.

Judge(s): MCCLARTY

A hospital system filed a declaratory judgment action in the Davidson County Chancery Court seeking invalidation of two TennCare State Plan Amendments on the basis that they violate Tennessee Code Annotated section 71-5-108. The two State Plan Amendments set forth reimbursement rates for emergency services provided to Tennessee’s Medicaid beneficiaries when the provider of those emergency services does not have a contract with the managed care organizations that insure the beneficiaries. The Davidson County Chancery Court declared that the TennCare State Plan Amendments were invalid and void ab initio. We affirm.

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