Scope

(1) All of the rate methodologies used to determine payments to service providers set forth in these rules are subject to the availability of appropriations established in the TennCare budget for home and community based services provided under the State’s approved HCBS waivers for individuals with intellectual disabilities and may be adjusted by the Department or by TennCare as necessary to assure that expenditures for these services are within and do not exceed the budgeted amount for waiver services that year; and also the provisions of METHODOLOGY UTILIZED TO DETERMINE PAYMENTS TO CHAPTER 0465-01-02 SERVICE PROVIDERS (RATE STRUCTURE) Title 33 and 34 of the Tennessee Code Annotated; and, Executive Order of the State of Tennessee No. 23, dated October 19, 1999, and Executive Order No. 28, dated June 19, 2013, which established the Tennessee Employment First Initiative which directs state agencies to “coordinate to increase opportunities for integrated and competitive employment for individuals with intellectual and developmental disabilities.”