Specifications include, but are not limited to: The Department of Finance and Administration, Division TennCare, the State of Tennessee’s Medicaid Program (TennCare), is soliciting proposals for a Contractor to assist the State in maintaining a reimbursement rate structure for nursing facilities in Tennessee with Medicaid patients that are paid a daily per diem for each patient. The per diem consists of several components, including but not limited to: direct care, indirect care, fair rental value, acuity, quality, and a tax pass-through. The Contractor will also conduct the annual audit of the State’s Disproportionate Share Hospital (DSH) payments and will provide an annual calculation of the State’s Certified Public Expenditure (CPE) amount.