THE CHATTANOOGA-HAMILTON COUNTY HOSPITAL AUTHORITY v. DIVISION OF TENNCARE, ET AL. - Articles

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Posted by: Azya Thornton on May 21, 2025

Court: TN Court of Appeals

Attorneys 1: Jonathan Skrmetti, Attorney General and Reporter; Andrée Sophia Blumstein, Solicitor General; Reed N. Smith, Assistant Attorney General; and Meredith Wood Bowen, Senior Assistant Attorney General, for the appellant, Division of TennCare, 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 that was the aggrieved party in this contested case before The Division of TennCare, Department of Finance and Administration sought judicial review of the agency’s decision upholding the validity of two TennCare rules. The two rules regulate 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 reversed the agency’s decision and held that the two rules were invalid and void ab initio. We affirm.