This section is intended to ensure the prompt and accurate payment of all claims incurred by providers delivering services to enrollees of the TennCare partners program, and to formalize the resolution of all claims disputes arising under the partners program. Accordingly, the standards and requirements set forth at § 56-32-126(b), shall be applicable to the TennCare partners program. Specifically, all entities contracting with the state in the partners program shall have the same rights and obligations as defined for TennCare health maintenance organizations at § 56-32-126(b). The commissioner of commerce and insurance has the authority to conduct periodic examinations of these entities to verify compliance with this section. Any entity found to be in noncompliance with this section shall be subject to the imposition by the commissioner of the same penalties and other remedies set forth at § 56-32-120.
Structure 2021 Tennessee Code
Chapter 5 - Programs and Services for Poor Persons
Part 23 - Miscellaneous Provisions
§ 71-5-2301. Allowances by County Legislative Body
§ 71-5-2302. Exemption From Road Service
§ 71-5-2303. Contract for Support With Use of Farm
§ 71-5-2304. Contracts for Support of Poor
§ 71-5-2305. Employment of Poor by Contracts
§ 71-5-2306. Supervision of Contractors
§ 71-5-2307. Setting Aside Contract
§ 71-5-2308. Contracts for Hospital Care
§ 71-5-2309. Order to Receive County Patient
§ 71-5-2310. Hospitalization Attained by County Mayor
§ 71-5-2312. Attendance of Patients by County Physicians
§ 71-5-2313. Welfare Recipients May Choose Optometrist or Physician — Exception — Fee Schedule
§ 71-5-2314. Payment of Claims Under Tenncare Partners Program