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Tennessee Medicaid Reverses Non-Coverage Policy for Facet Interventions

Posted By Administration, Friday, November 22, 2013
An ISIS member and instructor from Tennessee - Dr. Graf Hilgenhurst - led a successful effort to reverse a non-coverage policy for facet joint interventions issued by Tennessee Medicaid Plan (TennCare).  TennCare planned to implement a policy denying facet interventions starting on October 1, 2013.  Dr. Hilgenhurst obtained assistance and strategic advice from ISIS and, on September 17th, 2013, he and other Tennessee interventional pain physicians met with Dr. Vaughn Frigon, Chief Medical Officer for TennCare, to discuss the issue.  As a result of the meeting, TennCare altered the planned policy to cover diagnostic medial branch blocks and medial branch radiofrequency neurotomy.  Congratulations to Dr. Hilgenhurst and all who were involved.

Tags:  Advocacy 

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