['JUL.', '14.', '2000', '4:13PM', 'ov-', 'Tohd-', 'us', 'Bdge', 'ALNIUN', 'w', 'WELLiave~', 'NO,', '597', 'Ssr0q2,', '13/4948', 'The', 'relief', 'requested', 'herein', 'furthers', 'the', 'purposes', 'of', 'TennCare,', '*', '35.', 'The', 'central', 'purposes', 'of', 'Title', 'XIX', 'are', 'to', 'help', 'indigent', 'persons', 'to', '“meet', 'the', 'costs', 'of', 'necessary', 'medica)', 'services”', 'and', '“attain', 'orretain', 'capability', 'for', 'independence', 'orsélf-care."', '42US.C.', '§2396.', 'The', 'relief', 'requested', 'herein', 'furthers', 'the', 'purposes', 'of', 'Medicaid.', '36.', 'Bachindividual', 'Medicaid', 'program', 'is', 'administered', 'through', 'a', 'federal-siate', 'partnership', 'between', 'the', 'federal', 'Health', 'Care', 'Financing', 'Administration', '(HCFA"),', 'a', 'part', 'of', 'the', 'Department', 'of', 'Health', 'and', 'Human', 'Services', '("HHS"),', 'and', 'a', 'designated', 'slate', 'agency.', '37,', 'The', 'terms', 'of', 'the', 'federal-state', 'parmership', 'are', 'embodied', 'ina', 'waitisn', 'Slate', 'plan,', 'which', 'is', 'appraved', 'by', 'the', 'governor', 'and', 'HCFA.', 'Each', 'state', 'is', 'responsible', 'for', 'administering', 'ite', 'own', 'Medicaid', 'program', 'in', 'acuurdance', 'with', 'federal', 'statutory', 'and', 'regulatory', 'requirements', 'and', 'the', 'federsity', 'Me', 'approved', 'state', 'plan,', '38,', 'In', '1994,', 'Tennessee', 'moved', 'most', 'of', 'its', 'Medicaid', 'program', 'stideremanaged', 'cars', 'waiver', '”', 'approved', 'by', 'the', 'Health', 'Care', 'Financing', 'Administration.', 'The', 'waiver', 'program', 'is', 'called', 'TennCare.', 'TennCare', 'required', 'no', 'new', 'taxes', 'and', 'extended', 'health', 'coverage', 'nat', 'only', 'fo', 'the', 'nearly', '800,000', 'Teénnesseans', 'in', 'the', 'Medicaid', 'population,', 'but', 'also', 'to', 'an', 'approximately', '400,000', 'uninsured', 'or', 'uninsurable', 'persons', 'using', 'a', 'system', 'of', 'managed', 'care,', 'Enrollment', 'was', 'open', 'in', '1994', 'to', 'eligibie', 'persons', 'in', 'the', 'uninsured,', 'uninsurable,', 'and', 'Medicaid-cligible', 'categories.', '39.', 'The', 'Bureaw', 'of', 'TonnCare', 'is', 'responsible', 'for', 'the', 'administration', 'of', 'the', 'TennCare', 'and', 'TeanCare', 'Partners', 'Programs,', 'a.managed', 'care', 'system', 'that', 'provides', 'health', 'care', 'benefits.', 'TennCare', 'covers', 'approximalely', '1.3', 'million', 'Tennesseans,', 'including', 'those', 'who', 'are', 'Medicaid', 'eligible,', 'along', 'with', 'uninsured', 'and', 'uninsurable', 'populations,', '40.', 'In', 'order', 'to', 'implement', 'TennCare,', 'the', 'State', 'of', 'Tennessee', 'was', 'granted', 'approval', 'by', 'the', 'Health', 'Care', 'Financing', 'Administration', '(HCFA)', 'for', '2', 'five', '(4)', 'year', 'demonstration', 'project', 'under', 'ed', 'Section', '1115', '[42', 'USCS', '§§', '1315).', 'State', 'rules', 'were', 'promulgaled', 'to', 'assist', 'in', 'administering', 'the', 'a', 'statewide', 'program', '(TSOP).', 'TennCare', 'replaced', 'the', 'exisling', 'Medicaid', 'Program', 'with', 'a', 'program', 'of', 'oo', 'managed', 'health', 'care.', 'The', 'initial', 'five', 'year', 'demonswation', 'project', 'ended', 'December', '31,', '1998.', 'HCFA', 'a', 'approved', 'a', 'waiver', 'extension', 'for', 'duree', 'years', 'beginning', 'January', '|,', '1999', 'through', 'December', '31,', '2001.', 'As', 'aresultofthe', 'implementation', 'of', 'the', 'TennCare', 'Program,', 'the', 'HCFA', 'waived', 'the', 'cost', 'requirements,', ':', 'of', '42', 'USCS', '1396.', 'The', 'other', 'provisions', 'of', '42', 'USCS', '1396', 'were', 'not', 'waived,', 'a', '“=', ' ']