Tennessee · Statutes
Chapter 5
273 sections
273 sections
- Tenn. Code Ann. § 71-5-101Short title
- Tenn. Code Ann. § 71-5-102Purpose
- Tenn. Code Ann. § 71-5-103Part definitions
- Tenn. Code Ann. § 71-5-104Administration by department
- Tenn. Code Ann. § 71-5-105Powers and duties of department - Total number of ICF/MR beds - Certificate of need exemption for DIDD public ICF/MR non-facility beds established pursuant to federal litigation
- Tenn. Code Ann. § 71-5-106Determination of eligibility for medical assistance
- Tenn. Code Ann. § 71-5-107Kinds of medical services
- Tenn. Code Ann. § 71-5-108Payment methodology for medicaid enrollees not enrolled in medicare
- Tenn. Code Ann. § 71-5-109Expenditures not to exceed appropriation
- Tenn. Code Ann. § 71-5-110Application for medical assistance - Application for TennCare enrollment - Notice of change in application information
- Tenn. Code Ann. § 71-5-111Investigation - Determination of eligibility
- Tenn. Code Ann. § 71-5-112Hearing concerning eligibility
- Tenn. Code Ann. § 71-5-113Hearing concerning matters other than eligibility
- Tenn. Code Ann. § 71-5-114Subpoena and examination of witnesses
- Tenn. Code Ann. § 71-5-115Financial responsibility of relative - When may be considered - Reimbursement from responsible parties
- Tenn. Code Ann. § 71-5-116Lien on real estate - Claim against estate - Restrictions
- Tenn. Code Ann. § 71-5-117Recovery of benefits - State's right of subrogation - Assignment of insurance benefit rights - Commissioner authorized to require certain information identifying persons covered by third parties - State's right of action - Determination of subrogation interest - Attorney's fees - Remittance of net subrogation interest - Subrogation interest hearing - Legislative intent
- Tenn. Code Ann. § 71-5-118Contracts with vendors - Sanctions against vendors - Grounds for actions against providers - Administrative remedy to recover benefits from applicant - Collection activity report - Applicant warning - Prompt process of hospital presumptive eligibility applications
- Tenn. Code Ann. § 71-5-119Discrimination prohibited
- Tenn. Code Ann. § 71-5-120Residency requirement - Determination - Appeal
- Tenn. Code Ann. § 71-5-121Transfer of income or resources
- Tenn. Code Ann. § 71-5-122Statement of interest of vendors or suppliers holding equity interest in hospitals, apothecaries or nursing homes
- Tenn. Code Ann. § 71-5-123Statement of public officials as to interest in vendors or providers
- Tenn. Code Ann. § 71-5-124Duties of department of finance and administration
- Tenn. Code Ann. § 71-5-125Duties of fiscal review committee
- Tenn. Code Ann. § 71-5-126Medicaid expansion under federal Patient Protection and Affordable Care Act prohibited without joint resolution of General Assembly
- Tenn. Code Ann. § 71-5-127Conflict with federal law - Single state agency
- Tenn. Code Ann. § 71-5-128Contracts with health maintenance organizations - Requirements
- Tenn. Code Ann. § 71-5-129Charges for services of physician assistants
- Tenn. Code Ann. § 71-5-130Determination of payments to vendors - Audits
- Tenn. Code Ann. § 71-5-131Contributed funds
- Tenn. Code Ann. § 71-5-132Medicaid providers - Responsibilities - Changes in ownership or controlling interest
- Tenn. Code Ann. § 71-5-133Provision of information concerning Norplant and other contraceptives
- Tenn. Code Ann. § 71-5-134Rules and regulations - Funding medical assistance
- Tenn. Code Ann. § 71-5-135State unemployment health care benefits - Scope - Conditions
- Tenn. Code Ann. § 71-5-136Hold harmless requirements prohibited
- Tenn. Code Ann. § 71-5-137Disclosures required of persons associated with managed care organizations
- Tenn. Code Ann. § 71-5-138Compliance with provisions regarding authorizations for pharmacy services
- Tenn. Code Ann. § 71-5-139Protection of TennCare patients' federal and court ordered rights by health care providers receiving TennCare funds
- Tenn. Code Ann. § 71-5-140Deductions for dental services paid by eligible individuals in long-term care facilities
- Tenn. Code Ann. § 71-5-141Eligibility of aliens for medical assistance
- Tenn. Code Ann. § 71-5-142Confidentiality and disclosure of proprietary information
- Tenn. Code Ann. § 71-5-143TennCare advisory commission - Composition - Purpose - Expert assistance - Confidentiality - Conflict - Compensation
- Tenn. Code Ann. § 71-5-144Medically necessary items and services
- Tenn. Code Ann. § 71-5-145Cost effectiveness of providers
- Tenn. Code Ann. § 71-5-146Pharmacy lock-in program
- Tenn. Code Ann. § 71-5-147Personal needs allowance - Protecting nursing home residents from diversion of allowance
- Tenn. Code Ann. § 71-5-148Health care safety net for uninsured
- Tenn. Code Ann. § 71-5-149Disease management program
- Tenn. Code Ann. § 71-5-150Reimbursement for TennCare crossover payments
- Tenn. Code Ann. § 71-5-151Report on use of technical assistance groups of healthcare providers in developing episode of care
- Tenn. Code Ann. § 71-5-152Procedure to obtain data sets derived from all payer claims database - Use of data - Annual report
- Tenn. Code Ann. § 71-5-153Verification of information
- Tenn. Code Ann. § 71-5-154Annual report relating to coverage of mental health treatment
- Tenn. Code Ann. § 71-5-155Prior authorization for CRT or manual wheelchairs prohibited - Exceptions - Section definitions
- Tenn. Code Ann. § 71-5-156Development of policy regarding births involving neonatal abstinence syndrome and opiod use by women of childbearing age
- Tenn. Code Ann. § 71-5-157Establishment of state policy to avoid use of state funds for elective abortions
- Tenn. Code Ann. § 71-5-158Amendment to TennCare ll waiver relating to work and community engagement requirements for certain adult enrollees
- Tenn. Code Ann. § 71-5-159Complex rehabilitation technology
- Tenn. Code Ann. § 71-5-160Maintenance of coverage trust fund
- Tenn. Code Ann. § 71-5-161Hospital payment rate corridors
- Tenn. Code Ann. § 71-5-162Identification of child enrollees eligible for federal supplemental security income upon reaching 18 years of age - Counseling - Enrollment assistance
- Tenn. Code Ann. § 71-5-163Submission of waiver in order to provide medical assistance to TennCare ll waiver population by means of block grant
- Tenn. Code Ann. § 71-5-164Waiver for purpose of establishing Katie Beckett program
- Tenn. Code Ann. § 71-5-165Reimbursement of ambulance service provider that provides covered service to TennCare recipient
- Tenn. Code Ann. § 71-5-166Annual review of medications and forms of treatment for sickle cell disease, and services for enrollees with diagnosis of sickle cell disease, that are eligible for coverage under medical assistance program
- Tenn. Code Ann. § 71-5-167Physical address requirement for telehealth providers
- Tenn. Code Ann. § 71-5-168CPT code updates to include reimbursement of remote ultrasound procedures and remote fetal nonstress tests - Qualifications for reimbursement
- Tenn. Code Ann. § 71-5-169Reimbursement for non-opioid treatment to healthcare providers and hospitals
- Tenn. Code Ann. § 71-5-170Denial of non-opioid prescription in favor of opioid prescription prohibited
- Tenn. Code Ann. § 71-5-171Mental health services - Mandatory coverage and reimbursement
- Tenn. Code Ann. § 71-5-181Tennessee Medicaid False Claims Act - Short title
- Tenn. Code Ann. § 71-5-182Violations - Damages - Definitions
- Tenn. Code Ann. § 71-5-183Civil actions - Employee remedies
- Tenn. Code Ann. § 71-5-184Service - Limitations
- Tenn. Code Ann. § 71-5-185Venue
- Tenn. Code Ann. § 71-5-188Actuarial study of TennCare
- Tenn. Code Ann. § 71-5-189Accounting of TennCare funds
- Tenn. Code Ann. § 71-5-190TennCare prescription drug utilization review committee
- Tenn. Code Ann. § 71-5-191Uniform TennCare claims process
- Tenn. Code Ann. § 71-5-192Information management system
- Tenn. Code Ann. § 71-5-193Children's mental health care - Development of interagency projects and programs
- Tenn. Code Ann. § 71-5-194Spend down eligibility for medical assistance
- Tenn. Code Ann. § 71-5-195Study on use of prescription drugs in nursing homes
- Tenn. Code Ann. § 71-5-196Veterans education benefits
- Tenn. Code Ann. § 71-5-197Authority over TennCare pharmacy purchases - Confidential information - Exemption from open meeting laws
- Tenn. Code Ann. § 71-5-198Prescription drug program waiver
- Tenn. Code Ann. § 71-5-199State preferred drug list
- Tenn. Code Ann. § 71-5-201Reimbursement for services - Authorization
- Tenn. Code Ann. § 71-5-202Restrictions on services
- Tenn. Code Ann. § 71-5-301Short title
- Tenn. Code Ann. § 71-5-302Purpose
- Tenn. Code Ann. § 71-5-303Part definitions
- Tenn. Code Ann. § 71-5-304Duties of department
- Tenn. Code Ann. § 71-5-305Eligibility requirements for assistance
- Tenn. Code Ann. § 71-5-306Determination of amount of assistance
- Tenn. Code Ann. § 71-5-307Method of applying for assistance
- Tenn. Code Ann. § 71-5-308Investigation of applications - Determination of eligibility
- Tenn. Code Ann. § 71-5-309Appeal of determination of area manager
- Tenn. Code Ann. § 71-5-310Review of determinations of area managers