Required Information for Verification and Audit Purposes

1. Law
2. Tennessee Code
3. Insurance
4. Health Maintenance Organization Act of 1986
5. Required Information for Verification and Audit Purposes

1. As used in this section, “affiliate” has the same meaning as defined in § 56-32-102.
2. 1. For verification and audit purposes, each managed care organization that participates in the TennCare program shall provide to the department of commerce and insurance the following information for its organization:
      1. The names and addresses of all persons required to file a disclosure with the commissioner of health under § 71-5-137(a) and (b);
      2. An explanation of the interest in or connection with the managed care organization, or an affiliate of the organization, in accordance with § 71-5-137(a), of each person required to file a disclosure under subdivision (b)(1)(A); and
      3. A listing of all compensation of any form paid to each person required to file a disclosure under subdivision (b)(1)(A) related to the person's interest in or connection with the managed care organization, or an affiliate of the organization, in accordance with § 71-5-137(a).
   2. The information shall be provided on or before January 15 of each year for the preceding calendar year.

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