The bureau of TennCare shall adopt a state disease management program, which may include contracting with a vendor that specializes in the provision of disease management services. The disease management program shall be designed to improve care to and reduce overall expenditures for TennCare beneficiaries with chronic illnesses. The disease management program may include the development of evidence-based medical practice guidelines, support services to assist physicians in monitoring their patients, more closely managed patient care, including management of the proper use of prescription drugs by patients, and the development of individual patient treatment plans that may include recommendations for improved medication compliance and improved lifestyle and behavioral compliance. The adoption of a disease management program is not an agency action and does not require rulemaking.
Structure 2021 Tennessee Code
Chapter 5 - Programs and Services for Poor Persons
Part 1 - Medical Assistance Act
§ 71-5-106. Determination of Eligibility for Medical Assistance
§ 71-5-108. Payment Methodology for Medicaid Enrollees Not Enrolled in Medicare
§ 71-5-111. Investigation — Determination of Eligibility
§ 71-5-112. Hearing Concerning Eligibility
§ 71-5-121. Transfer of Income or Resources
§ 71-5-123. Statement of Public Officials as to Interest in Vendors or Providers
§ 71-5-125. Duties of Fiscal Review Committee
§ 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
§ 71-5-134. Rules and Regulations — Funding Medical Assistance
§ 71-5-135. State Unemployment Health Care Benefits — Scope — Conditions
§ 71-5-136. Hold Harmless Requirements Prohibited
§ 71-5-138. Compliance With Provisions Regarding Authorizations for Pharmacy Services
§ 71-5-146. Pharmacy Lock-in Program
§ 71-5-149. Disease Management Program
§ 71-5-150. Reimbursement for Tenncare Crossover Payments
§ 71-5-182. Violations — Damages — Definitions
§ 71-5-189. Accounting of Tenncare Funds
§ 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