There is a newer version of the Tennessee Code
2015 Tennessee Code
Title 71 - Welfare
Chapter 5 - Programs and Services for Poor Persons
Part 1 - Medical Assistance Act
- § 71-5-101 - Short title.
- § 71-5-102 - Purpose.
- § 71-5-103 - Part definitions.
- § 71-5-104 - Administration by department.
- § 71-5-105 - Powers 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.
- § 71-5-106 - Determination of eligibility for medical assistance.
- § First - of 2 versions of this section
- § Second - of 2 versions of this section
- § 71-5-108 - Payment methodology for medicaid enrollees not enrolled in medicare.
- § 71-5-109 - Expenditures not to exceed appropriation.
- § 71-5-110 - Application for medical assistance -- Application for TennCare enrollment -- Notice of change in application information.
- § 71-5-111 - Investigation -- Determination of eligibility.
- § 71-5-112 - Hearing concerning eligibility.
- § 71-5-113 - Hearing concerning matters other than eligibility.
- § 71-5-114 - Subpoena and examination of witnesses.
- § 71-5-115 - Financial responsibility of relative -- When may be considered -- Reimbursement from responsible parties.
- § 71-5-116 - Lien on real estate -- Claim against estate -- Restrictions.
- § 71-5-117 - Recovery 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 -- Intent of legislature.
- § 71-5-118 - Sanctions against vendors -- Fraudulently obtaining benefits or payment for medical assistance -- Penalties -- Investigations -- Recovery of benefits -- Medicaid fraud control unit -- Collection activity report -- Applicant warning.
- § 71-5-119 - Discrimination prohibited.
- § 71-5-120 - Residency requirement -- Determination -- Appeal.
- § 71-5-121 - Transfer of income or resources.
- § 71-5-122 - Statement of interest of vendors or suppliers holding equity interest in hospitals, apothecaries or nursing homes.
- § 71-5-123 - Statement of public officials as to interest in vendors or providers.
- § 71-5-124 - Duties of department of finance and administration.
- § 71-5-125 - Duties of fiscal review committee.
- § 71-5-126 - Medicaid expansion under federal Patient Protection and Affordable Care Act prohibited without joint resolution of General Assembly.
- § 71-5-127 - Conflict with federal law -- Single state agency.
- § 71-5-128 - Contracts with health maintenance organizations -- Requirements.
- § 71-5-129 - Charges for services of physician assistants.
- § 71-5-130 - Determination of payments to vendors -- Audits.
- § 71-5-131 - Contributed funds.
- § 71-5-132 - Medicaid providers -- Responsibilities -- Changes in ownership or controlling interest.
- § 71-5-133 - Provision of information concerning Norplant and other contraceptives.
- § 71-5-134 - Rules and regulations -- Funding medical assistance.
- § 71-5-135 - State unemployment health care benefits -- Scope -- Conditions.
- § 71-5-136 - Hold harmless requirements prohibited.
- § 71-5-137 - Disclosures required of persons associated with managed care organizations.
- § 71-5-138 - Compliance with provisions regarding authorizations for pharmacy services.
- § 71-5-139 - Protection of TennCare patients' federal and court ordered rights by health care providers receiving TennCare funds.
- § 71-5-140 - Deductions for dental services paid by eligible individuals in long-term care facilities.
- § 71-5-141 - Eligibility of aliens for medical assistance.
- § 71-5-142 - Confidentiality and disclosure of proprietary information.
- § 71-5-143 - TennCare advisory commission -- Composition -- Purpose -- Expert assistance -- Confidentiality -- Conflict -- Compensation.
- § 71-5-144 - Medically necessary items and services.
- § 71-5-145 - Cost effectiveness of providers.
- § 71-5-146 - Pharmacy lock-in program.
- § 71-5-147 - Personal needs allowance -- Protecting nursing home residents from diversion of allowance.
- § 71-5-148 - Health care safety net for uninsured.
- § 71-5-149 - Disease management program.
- § 71-5-150 - Reimbursement for TennCare crossover payments.
- §§ 71-5-151 -- 71-5-159 - [Reserved.]
- § 71-5-160 - Maintenance of coverage trust fund.
- §§ 71-5-161 -- 71-5-180 - [Reserved.]
- § 71-5-181 - Tennessee Medicaid False Claims Act -- Short title.
- § 71-5-182 - Violations -- Damages -- Definitions.
- § 71-5-183 - Civil actions -- Employee remedies.
- § 71-5-184 - Service -- Limitations.
- § 71-5-185 - Venue.
- §§ 71-5-186, 71-5-187 - [Reserved.]
- § 71-5-188 - Actuarial study of TennCare.
- § 71-5-189 - Accounting of TennCare funds.
- § 71-5-190 - TennCare prescription drug utilization review committee.
- § 71-5-191 - Uniform TennCare claims process.
- § 71-5-192 - Information management system.
- § 71-5-193 - Children's mental health care -- Development of interagency projects and programs.
- § 71-5-194 - Spend down eligibility for medical assistance.
- § 71-5-195 - Study on use of prescription drugs in nursing homes.
- § 71-5-196 - Veterans education benefits.
- § 71-5-197 - Authority over TennCare pharmacy purchases -- Confidential information -- Exemption from open meeting laws.
- § 71-5-198 - Prescription drug program waiver.
- § 71-5-199 - State preferred drug list.
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