Any managed care organization shall comply with § 56-32-126 and any prompt pay provisions within the MCO contractor risk agreements with TennCare. In addition, the MCO shall ensure that ninety percent (90%) of clean claims for nursing facility services shall be processed and paid within fourteen (14) calendar days and ninety-nine and one half percent (99.5%) paid within twenty-one (21) days.
Structure 2021 Tennessee Code
Chapter 5 - Programs and Services for Poor Persons
Part 14 - Long-Term Care Community Choices Act of 2008
§ 71-5-1405. Single Entry Point Into the Long-Term Care System
§ 71-5-1406. Implementation of Policies and Processes by Commissioner
§ 71-5-1415. Quality Assurance and Quality Improvement Strategies
§ 71-5-1417. Funding for Medicaid Long-Term Care Services
§ 71-5-1418. Long-Term Care Client Information, Referral and Assistance Agency
§ 71-5-1420. Veterans Education Benefits
§ 71-5-1421. Prompt Payment of Claims and Liability for Bad Faith Failure to Pay Claims Promptly