NASHVILLE, Tenn.--(BUSINESS WIRE)--Amerigroup Tennessee, Inc., a statewide provider of TennCare Medicaid managed care services, today announced that is has been recognized by the National Committee for Quality Assurance (NCQA) by being awarded a Long Term Services and Supports Distinction, an honor that recognizes organizations for coordinating long-term services and supports (LTSS) that deliver efficient, effective person-centered care. Earning NCQA’s Long-term Services and Supports Distinction demonstrates that an organization is dedicated to coordinating the delivery of care in a person-centered and integrated manner to help individuals function optimally in their preferred setting.
“Our team is passionate about giving our members the support they need every day to enjoy the best quality of life possible,” said Edna Willingham, president for Amerigroup Tennessee. “Creating a more coordinated health care system for TennCare members is central to our mission, so much so that members of our team voluntarily served on the technical and advisory committees that helped develop NCQA’s LTSS Distinction standards.”
With an aging population in Tennessee and increasing focus on supporting individuals with disabilities, a growing need has arisen for high-quality services to help people coordinate care from multiple health care providers and support services. To better meet that need, Amerigroup has implemented tough new standards for administrating long-term services and has demonstrate best practices in person-centered approaches to assess individuals’ needs, manage care setting transitions, handle critical incidents and coordinate services between individuals, caregivers, doctors and other care providers.
“Long-term Services and Supports Distinction moves us closer to measuring quality across population health management initiatives,” said Margaret E. O’Kane, President, NCQA. “Not only does it add value to existing quality improvement efforts; it also demonstrates an organization’s highest level of commitment to improving the quality of care that meets people’s needs.”
NCQA standards are set high to encourage organizations coordinating LTSS to continuously enhance the quality of services they deliver. The standards are intended to help organizations achieve the highest level of performance possible, increase adherence to care guidelines and create an environment of continuous improvement.
“This is a well-deserved honor for Amerigroup and once again reinforces the value that managed care organizations can bring to serving people with complex support needs,” said Patti Killingsworth, TennCare’s chief of Long-Term Services and Supports. “The commitment to providing high-quality, person-centered services is evident in the way Amerigroup is supporting people with disabilities, helping them to live a meaningful and fulfilling life in the community.”
The Long Term Services and Supports Distinction applies to Amerigroup’s participation in TennCare’s CHOICES program. Launched in 2010, CHOICES provides options for meeting the long-term care needs of the state’s older adults and adults with physical disabilities, helping them remain as independent as possible. Care coordinators work individually with each member to identify needs and goals then develop a customized plan to meet them through use of community resources, as well as long-term services and supports. Amerigroup has participated in the program since 2010, with 8,400 current CHOICES members. Amerigroup also administers the new Employment and Community First CHOICES Program for individuals with intellectual and developmental disabilities.
“The fragmented nature of the U.S. health care system can be especially challenging for people in need of long-term services,” Willingham added. “A critical component to helping people in those situations is assuring they are getting the right services and supports at the right time and in the right setting.”
NCQA’s Long-term Services and Supports Distinction is a voluntary review process. NCQA’s Long-term Services and Supports Distinction program is offered to health plans that meet certain requirements in areas such as conducting comprehensive assessments, managing care transitions, performing person-centered assessments and planning and managing critical incidents.
About Amerigroup Tennessee, Inc.
Amerigroup Tennessee, Inc. helps improve health care access and quality for approximately 400,000 Tennessee residents who participate in the state’s various Medicaid programs. Amerigroup serves Tennesseans by developing and delivering innovative care management programs and services. Amerigroup Tennessee members are assured care that is not only accessible, but also accountable, comprehensive, integrated and patient-centered. It provides ongoing community relations and outreach to encourage members to become active participants in their health care. For more information about Amerigroup, please visit our website at www.myamerigroup.com/tn.
TennCare is the state of Tennessee’s Medicaid program which provides health insurance to approximately 1.4 million low-income Tennesseans including pregnant women, children, caretaker relatives of dependent children and older adults and adults with physical disabilities. With a satisfaction rating above 90 percent since 2009 TennCare provides health insurance through the use of managed care.
NCQA is a private, non-profit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.