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Medical Assistance Act
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Section
71-5-101
Short Title
Section
71-5-102
Purpose
Section
71-5-103
Part Definitions
Section
71-5-104
Administration by Department
Section
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
Section
71-5-106
Determination of Eligibility for Medical Assistance
Section
71-5-107
Kinds of Medical Services
Section
71-5-108
Payment Methodology for Medicaid Enrollees Not Enrolled in Medicare
Section
71-5-109
Expenditures Not to Exceed Appropriation
Section
71-5-110
Application for Medical Assistance — Application for Tenncare Enrollment — Notice of Change in Application Information
Section
71-5-111
Investigation — Determination of Eligibility
Section
71-5-112
Hearing Concerning Eligibility
Section
71-5-113
Hearing Concerning Matters Other Than Eligibility
Section
71-5-114
Subpoena and Examination of Witnesses
Section
71-5-115
Financial Responsibility of Relative — When May Be Considered — Reimbursement From Responsible Parties
Section
71-5-116
Lien on Real Estate — Claim Against Estate — Restrictions
Section
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
Section
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
Section
71-5-119
Discrimination Prohibited
Section
71-5-120
Residency Requirement — Determination — Appeal
Section
71-5-121
Transfer of Income or Resources
Section
71-5-122
Statement of Interest of Vendors or Suppliers Holding Equity Interest in Hospitals, Apothecaries or Nursing Homes
Section
71-5-123
Statement of Public Officials as to Interest in Vendors or Providers
Section
71-5-124
Duties of Department of Finance and Administration
Section
71-5-125
Duties of Fiscal Review Committee
Section
71-5-126
Medicaid Expansion Under Federal Patient Protection and Affordable Care Act Prohibited Without Joint Resolution of General Assembly
Section
71-5-127
Conflict With Federal Law — Single State Agency
Section
71-5-128
Contracts With Health Maintenance Organizations — Requirements
Section
71-5-129
Charges for Services of Physician Assistants
Section
71-5-130
Determination of Payments to Vendors — Audits
Section
71-5-131
Contributed Funds
Section
71-5-132
Medicaid Providers — Responsibilities — Changes in Ownership or Controlling Interest
Section
71-5-133
Provision of Information Concerning Norplant and Other Contraceptives
Section
71-5-134
Rules and Regulations — Funding Medical Assistance
Section
71-5-135
State Unemployment Health Care Benefits — Scope — Conditions
Section
71-5-136
Hold Harmless Requirements Prohibited
Section
71-5-137
Disclosures Required of Persons Associated With Managed Care Organizations
Section
71-5-138
Compliance With Provisions Regarding Authorizations for Pharmacy Services
Section
71-5-139
Protection of Tenncare Patients' Federal and Court Ordered Rights by Health Care Providers Receiving Tenncare Funds
Section
71-5-140
Deductions for Dental Services Paid by Eligible Individuals in Long-Term Care Facilities
Section
71-5-141
Eligibility of Aliens for Medical Assistance
Section
71-5-142
Confidentiality and Disclosure of Proprietary Information
Section
71-5-143
Tenncare Advisory Commission — Composition — Purpose — Expert Assistance — Confidentiality — Conflict — Compensation
Section
71-5-144
Medically Necessary Items and Services
Section
71-5-145
Cost Effectiveness of Providers
Section
71-5-146
Pharmacy Lock-in Program
Section
71-5-147
Personal Needs Allowance — Protecting Nursing Home Residents From Diversion of Allowance
Section
71-5-148
Health Care Safety Net for Uninsured
Section
71-5-149
Disease Management Program
Section
71-5-150
Reimbursement for Tenncare Crossover Payments
Section
71-5-151
Report on Use of Technical Assistance Groups of Healthcare Providers in Developing Episode of Care
Section
71-5-152
Procedure to Obtain Data Sets Derived From All Payer Claims Database — Use of Data — Annual Report
Section
71-5-153
Verification of Information
Section
71-5-154
Annual Report Relating to Coverage of Mental Health Treatment
Section
71-5-155
Medication Therapy Management Pilot Program. [Effective Until June 30, 2020.]
Section
71-5-156
Development of Policy Regarding Births Involving Neonatal Abstinence Syndrome and Opiod Use by Women of Childbearing Age
Section
71-5-157
Establishment of State Policy to Avoid Use of State Funds for Elective Abortions
Section
71-5-158
Amendment to Tenncare Ll Waiver Relating to Work and Community Engagement Requirements for Certain Adult Enrollees
Section
71-5-159
Complex Rehabilitation Technology
Section
71-5-160
Maintenance of Coverage Trust Fund
Section
71-5-161
Hospital Payment Rate Corridors
Section
71-5-162
Identification of Child Enrollees Eligible for Federal Supplemental Security Income Upon Reaching 18 Years of Age — Counseling — Enrollment Assistance
Section
71-5-163
Submission of Waiver in Order to Provide Medical Assistance to Tenncare Ll Waiver Population by Means of Block Grant
Section
71-5-164
Waiver for Purpose of Establishing Katie Beckett Program
Section
71-5-165
Reimbursement of Ambulance Service Provider That Provides Covered Service to Tenncare Recipient
Section
71-5-182
Violations — Damages — Definitions
Section
71-5-183
Civil Actions — Employee Remedies
Section
71-5-184
Service — Limitations
Section
71-5-185
Venue
Section
71-5-189
Accounting of Tenncare Funds
Section
71-5-190
Tenncare Prescription Drug Utilization Review Committee
Section
71-5-191
Uniform Tenncare Claims Process
Section
71-5-192
Information Management System
Section
71-5-193
Children's Mental Health Care — Development of Interagency Projects and Programs
Section
71-5-194
Spend Down Eligibility for Medical Assistance
Section
71-5-195
Study on Use of Prescription Drugs in Nursing Homes
Section
71-5-196
Veterans Education Benefits
Section
71-5-197
Authority Over Tenncare Pharmacy Purchases — Confidential Information — Exemption From Open Meeting Laws
Section
71-5-198
Prescription Drug Program Waiver
Section
71-5-199
State Preferred Drug List