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2020 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
- § 71-5-107. Kinds of Medical Services
- § 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 — Legislative Intent
- § 71-5-118. Contracts 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
- § 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. Report on Use of Technical Assistance Groups of Healthcare Providers in Developing Episode of Care
- § 71-5-152. Procedure to Obtain Data Sets Derived From All Payer Claims Database — Use of Data — Annual Report
- § 71-5-153. Verification of Information
- § 71-5-154. Annual Report Relating to Coverage of Mental Health Treatment
- § 71-5-155. Medication Therapy Management Pilot Program. [Effective Until June 30, 2020.]
- § 71-5-156. Development of Policy Regarding Births Involving Neonatal Abstinence Syndrome and Opiod Use by Women of Childbearing Age
- § 71-5-157. Establishment of State Policy to Avoid Use of State Funds for Elective Abortions
- § 71-5-158. Amendment to Tenncare Ll Waiver Relating to Work and Community Engagement Requirements for Certain Adult Enrollees
- § 71-5-159. Complex Rehabilitation Technology
- § 71-5-160. Maintenance of Coverage Trust Fund
- § 71-5-161. Hospital Payment Rate Corridors
- § 71-5-162. Identification of Child Enrollees Eligible for Federal Supplemental Security Income Upon Reaching 18 Years of Age — Counseling — Enrollment Assistance
- § 71-5-163. Submission of Waiver in Order to Provide Medical Assistance to Tenncare Ll Waiver Population by Means of Block Grant
- § 71-5-164. Waiver for Purpose of Establishing Katie Beckett Program
- § 71-5-165. Reimbursement of Ambulance Service Provider That Provides Covered Service to Tenncare Recipient
- § 71-5-182. Violations — Damages — Definitions
- § 71-5-183. Civil Actions — Employee Remedies
- § 71-5-184. Service — Limitations
- § 71-5-185. Venue
- § 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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