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U.S. State Codes
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Tennessee
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Title 71 - Welfare
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Chapter 5 - Programs and Se...
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Part 1 - Medical Assistance Act
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. 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. 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.
§ 71-5-181. 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.
§ 71-5-188. 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.