Impact of the Long Term Care Community Choices Act


Speaker(s) ,

Wednesday, June 18, 2008
5:00 AM-5:00 AM CST

Boult, Cummings, Conners & Berry, PLC
Roundabout Plaza 1600 Division Street, 7th Floor
Nashville,  Tennessee  37203  

The Boult Cummings Senior Housing and Long Term Care team invites you to attend a complimentary seminar to discuss the impact of the Long Term Care Community Choices Act (LTCCCA), which will soon be signed into law here in Tennessee. 

On May 21st, the Tennessee Legislature completed its passage of landmark legislation affecting long term care services in Tennessee.  The LTCCCA (SB4181/HB4144 ) reorganizes and reorders many, if not all, aspects of the coverage, regulation, and reimbursement of long term care services under TennCare.  The legislation passed the House and Senate without a dissenting vote and awaits the signature of Governor Bredesen, who made its passage a key legislative goal.  The legislation is comprehensive, but its main elements include:

  • Integration of long term care services into the current capitated TennCare system under the TennCare managed care organizations (MCOs), with a single entry point for Medicaid beneficiaries into the LTC system.
  • Creation of level of care criteria for long term care services so that the LTC system increases the use of home and community based services (HCBS) as an alternative to institutional providers, commonly called “rebalancing”.
  • The development and implementation of an acuity-based, price-based reimbursement system for nursing facility services as an alternative to the current cost-based reimbursement system
  • Expanded assisted-care living facility (ACLF) scope of services through changes in the current statutory provisions regarding assisted-care living facility admission and continued stay criteria. The legislation allows ACLFs to expand their services to additional individuals (both Medicaid and private pay) to permit persons to “age in place”.

Seminar agenda
7:30 - 8:00 a.m.     Registration and Networking Breakfast
8:00 - 8:30 a.m.     Review what the LTCCCA does, how it changes current law, and how and when it is
                               likely to be implemented
8:30 - 9:00 a.m.     Discuss expected changes to facility licensure “silos” under the new law
9:00 - 9:15 a.m.     Break
9:15 - 9:45 a.m.     Cover MCO contracting basics and what facilities should look out for in those
9:45 - 10:15 a.m.   Forecast the business issues to consider as facilities plan for diversification and
                               other strategies to survive and thrive in a new long term care marketplace
10:15 - 10:30 a.m. Q&A

Due to limited seating, registration is limited to four individuals per company. Additional registrants per company will be placed on the waiting list. If space allows, Boult Cummings will contact the waiting list individuals and invite them to attend.

The registration deadline is Thursday, June 12.

If you have any questions, please contact Erin Ihde at 615.252.3528 or e-mail to