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Part 1 - Medical Assistance Act
§ 71-5-101. Short Title - This part may be cited as and shall be known...
§ 71-5-103. Part Definitions - As used in this part, unless the context otherwise requires:
§ 71-5-106. Determination of Eligibility for Medical Assistance - A person with both medicare and medicaid does not usually...
§ 71-5-108. Payment Methodology for Medicaid Enrollees Not Enrolled in Medicare - The TennCare bureau is directed to submit a state plan...
§ 71-5-111. Investigation — Determination of Eligibility - When an application for medical assistance under this part is...
§ 71-5-112. Hearing Concerning Eligibility - Whenever a hearing concerning eligibility determinations is required by state...
§ 71-5-115. Financial Responsibility of Relative — When May Be Considered — Reimbursement From Responsible Parties - To the extent permitted by federal law, the department may...
§ 71-5-121. Transfer of Income or Resources - In all actions for the transfer of income or resources...
§ 71-5-123. Statement of Public Officials as to Interest in Vendors or Providers - Any department head, deputy, assistant, or director of any state...
§ 71-5-125. Duties of Fiscal Review Committee - The fiscal review committee is directed to obtain the following...
§ 71-5-126. Medicaid Expansion Under Federal Patient Protection and Affordable Care Act Prohibited Without Joint Resolution of General Assembly - The governor shall not make any decision or obligate the...
§ 71-5-127. Conflict With Federal Law — Single State Agency - If it is found that any of the provisions of...
§ 71-5-128. Contracts With Health Maintenance Organizations — Requirements - Notwithstanding any other law to the contrary, the department of...
§ 71-5-129. Charges for Services of Physician Assistants - Charges to be reimbursed for physician assistants from medicaid funds...
§ 71-5-134. Rules and Regulations — Funding Medical Assistance - The commissioner of finance and administration is authorized to promulgate...
§ 71-5-135. State Unemployment Health Care Benefits — Scope — Conditions - If a person who previously had health insurance through their...
§ 71-5-136. Hold Harmless Requirements Prohibited - No health insurer, prepaid group health plan, health maintenance organization,...
§ 71-5-138. Compliance With Provisions Regarding Authorizations for Pharmacy Services - Any managed care organization participating in the TennCare program shall...
§ 71-5-146. Pharmacy Lock-in Program - On and after July 1, 2004, the bureau of TennCare,...
§ 71-5-149. Disease Management Program - The bureau of TennCare shall adopt a state disease management...
§ 71-5-150. Reimbursement for Tenncare Crossover Payments - The bureau of TennCare shall reimburse pharmacies for covered products...
§ 71-5-158. Amendment to Tenncare Ll Waiver Relating to Work and Community Engagement Requirements for Certain Adult Enrollees - An amendment to the existing TennCare II waiver shall be...
§ 71-5-162. Identification of Child Enrollees Eligible for Federal Supplemental Security Income Upon Reaching 18 Years of Age — Counseling — Enrollment Assistance - The bureau of TennCare shall establish a program that:
§ 71-5-182. Violations — Damages — Definitions - is liable to the state for a civil penalty of...
§ 71-5-185. Venue - Any action under § 71-5-183 may be brought in any...
§ 71-5-189. Accounting of Tenncare Funds - The bureau of TennCare shall provide to the comptroller of...
§ 71-5-192. Information Management System - On or before January 1, 2004, a comprehensive, integrated information...
§ 71-5-193. Children's Mental Health Care — Development of Interagency Projects and Programs - The department shall involve the council in the development of...
§ 71-5-194. Spend Down Eligibility for Medical Assistance - On or before July 1, 2003, the department of human...
§ 71-5-195. Study on Use of Prescription Drugs in Nursing Homes - The comptroller of the treasury, in conjunction with any appropriate...
§ 71-5-196. Veterans Education Benefits - Notwithstanding any other provision of this chapter, to the extent...
§ 71-5-199. State Preferred Drug List - The bureau of TennCare may, in its sole discretion, adopt...
Part 2 - Community Clinics
§ 71-5-202. Restrictions on Services - Medical services that are presently provided in specialized public health...
Part 3 - Food Assistance
§ 71-5-301. Short Title - This part may be cited as and shall be known...
§ 71-5-302. Purpose - The purpose of this part is to provide for improved...
§ 71-5-303. Part Definitions - As used in this part, unless the context requires otherwise:
§ 71-5-304. Duties of Department - The department shall:
§ 71-5-305. Eligibility Requirements for Assistance - Assistance under this part shall be granted to any needy...
§ 71-5-306. Determination of Amount of Assistance - The amount of assistance to which any person, household or...
§ 71-5-307. Method of Applying for Assistance - An applicant for assistance under this part, or a person...
§ 71-5-309. Appeal of Determination of Area Manager - If an application is not acted upon by the area...
§ 71-5-310. Review of Determinations of Area Managers - The department may also, upon its own motion, review any...
§ 71-5-312. Administration Costs - Cost of the administration of the food stamp program shall...
§ 71-5-313. Receipt or Transfer of Property by Recipient — Notice Required — Recovery of Excess Payments - If at any time during the certification for food stamp...
§ 71-5-315. Veterans Education Benefits - Notwithstanding any other provision of this chapter, to the extent...
Part 4 - Energy Assistance
§ 71-5-402. Veterans Education Benefits - Notwithstanding any other provision of this chapter, to the extent...
Part 5 - Pharmaceutical Connection Program
§ 71-5-501. Part Definitions - As used in this part, unless the context otherwise requires:
§ 71-5-504. Notification About Program to Pharmaceutical Companies — Opportunity for Companies to Submit Information About Assistance Programs Offered by Companies - The department shall notify pharmaceutical companies doing business in Tennessee...
§ 71-5-505. Strategies to Improve Access to Prescription Drugs - The department may implement additional strategies, subject to available resources,...
§ 71-5-506. Annual Report - The department shall prepare and submit an annual report on...
§ 71-5-507. Entitlement Not Created by Program - The program established in this part is not, nor does...
Part 6 - Federal Matching Funds
§ 71-5-601. Legislative Intent - It is the intent of the general assembly that, in...
§ 71-5-602. Federal Waiver Authority for Matching Funds - The commissioner is directed to identify, apply for and negotiate...
§ 71-5-603. Rules and Regulations - The commissioner may adopt any rules that are necessary and...
Part 9 - Poverty Reduction Plan
§ 71-5-901. Commissioner of Human Services to Conduct Study of Poverty - The commissioner of human services shall complete a study of...
Part 10 - Nursing Home Assessment Trust Fund
§ 71-5-1001. Part Definitions - As used in this part, unless the context otherwise requires:
§ 71-5-1007. Requirements for Nursing Homes Participating in Medicaid Program — Penalties for Noncompliance — Waiver of Penalties - For the purposes of this part, any nursing home participating...
§ 71-5-1008. Oversight Authority of Fiscal Review Committee - The fiscal review committee shall review and have oversight of...
§ 71-5-1009. Enactment of Part Does Not Excuse Payment of Assessment Fee - Enactment of this part and any amendments to this part...
Part 12 - Families First Councils
§ 71-5-1201. Establishment - The commissioner of human services shall appoint a group of...
§ 71-5-1203. Inventory and Coordination of Services and Opportunities - The council shall work in cooperation with the local office...
§ 71-5-1204. Cooperation by State Entities - The departments of human services and labor and workforce development...
Part 13 - Grant Assistance Program for Nursing Home Care
§ 71-5-1301. Creation of Grant Assistance Program - There is hereby created a grant assistance program to provide...
§ 71-5-1302. Eligibility - To be eligible to apply for a grant assistance payment...
§ 71-5-1304. Processing of Applications — Funding — Determination of Grant - Applications shall be processed by the department on a first...
§ 71-5-1305. Grant Payments - Grant payments under this part shall be made to the...
§ 71-5-1306. Rules and Regulations - The department of health is authorized to promulgate regulations pursuant...
§ 71-5-1307. [reserved.] - The department of health is authorized to administer this part,...
§ 71-5-1309. Funding - This part shall have no application unless funding is specifically...
§ 71-5-1310. Total Annual Income — Certification of Income - The amount of total annual income certified by an individual...
§ 71-5-1311. Veterans Education Benefits - Notwithstanding any other provision of this chapter, to the extent...
Part 14 - Long-Term Care Community Choices Act of 2008
§ 71-5-1401. Short Title - This part shall be known and may be cited as...
§ 71-5-1403. Part Definitions - As used in this part, unless the context otherwise requires:
§ 71-5-1405. Single Entry Point Into the Long-Term Care System - The commissioner shall ensure that there is a single entry...
§ 71-5-1406. Implementation of Policies and Processes by Commissioner - The commissioner shall implement policies and processes that expedite the...
§ 71-5-1415. Quality Assurance and Quality Improvement Strategies - The commissioner shall develop and implement quality assurance and quality...
§ 71-5-1416. Funding to Increase Access to Home and Community-Based Services in the State-Funded Options Program - Subject to the availability of funding, the commissioner shall designate...
§ 71-5-1417. Funding for Medicaid Long-Term Care Services - The commissioner shall provide medicaid long-term care services subject to...
§ 71-5-1418. Long-Term Care Client Information, Referral and Assistance Agency - [See the Compiler's Notes.] [See the Compiler's Notes.] [See the...
§ 71-5-1420. Veterans Education Benefits - Notwithstanding any other provision of this chapter, to the extent...
§ 71-5-1421. Prompt Payment of Claims and Liability for Bad Faith Failure to Pay Claims Promptly - Any managed care organization shall comply with § 56-32-126 and...
§ 71-5-1423. Hearing on Resident’s Appeal of Involuntary Discharge From Facility — Timeframe for Hearing and Final Order - If a resident appeals the facility's notice of involuntary discharge...
§ 71-5-1424. Hearing on Appeal of Tenncare’s Initial Determination of Ineligibility for Nursing Facility Services — Motion to Intervene by Facility - If an individual appeals TennCare's initial determination that they are...
Part 15 - Ground Ambulance Service Provider Assessment Act
§ 71-5-1502. Part Definitions - As used in this part:
§ 71-5-1510. Promulgation of Rules - The bureau is authorized to promulgate rules to effectuate the...
Part 20 - Annual Coverage Assessment Act of 2020 [Effective Until July 1, 2021]
§ 71-5-2001. Short Title. [Effective Until July 1, 2021.] - This part shall be known and may be cited as...
§ 71-5-2002. Part Definitions. [Effective Until July 1, 2021.] - As used in this part:
§ 71-5-2005. Deposits in Maintenance of Coverage Trust Fund — Expenditures — Quarterly Reports. [Effective Until July 1, 2021.] - CRA 2.12.9.60-Specify in applicable provider agreements that all providers who...
§ 71-5-2006. Expiration of Part — Survival of Certain Rights and Obligations. [Effective Until July 1, 2021.] - This part expires on July 1, 2021. However, the following...
§ 71-5-2007. Audit of Expenditure of Funds From Maintenance of Coverage Trust Fund. [Effective Until July 1, 2021.] - The comptroller of the treasury may audit the expenditure of...
Part 21 - Poor Asylums
§ 71-5-2101. Provision by County Legislative Body - There may be provided, at the expense of every county,...
§ 71-5-2102. Site and Construction - The site of the asylum shall be selected, and the...
§ 71-5-2103. Appointment of Commissioners - The county legislative body shall appoint three (3) commissioners to...
§ 71-5-2104. Appropriation of County Funds - The county legislative body may apply any county moneys in...
§ 71-5-2105. Powers of Commissioners - In the management of the asylum, the commissioners have the...
§ 71-5-2106. Duty of Superintendent - The superintendent shall overlook and manage the asylum and its...
§ 71-5-2107. Replacement of Superintendent - The commissioners may remove the superintendent whenever they think the...
§ 71-5-2108. Residence of Inmates - No person shall be admitted into the asylum who has...
§ 71-5-2109. Application for Admission - The commissioners shall examine all applicants for admission into the...
§ 71-5-2110. Superintendent's Annual Report - The superintendent shall, once every year, in the month of...
§ 71-5-2112. Government of Joint Institutions - Any institution established jointly by counties, as provided in §...
§ 71-5-2113. Funds for Joint Institutions - For the purpose of enabling counties to contribute and participate...
Part 22 - Commissioners of the Poor
§ 71-5-2201. Permanent Body — Name — Appointment — Term of Office - Code 1858, § 1597; Acts 1879, ch. 102, § 1;...
§ 71-5-2202. Oath of Office - Each commissioner, before entering upon the discharge of such commissioner's...
§ 71-5-2203. Chair — Minutes - The commissioners shall appoint one (1) of their number chair,...
§ 71-5-2204. Compensation - The county legislative body shall in all cases pay a...
§ 71-5-2205. Removal — Vacancies - The county legislative body may remove the commissioners, or any...
§ 71-5-2206. Order for Expenditures — Warrants - When money is to be drawn from the county treasury...
§ 71-5-2207. Book of Accounts — Items Entered - The commissioners shall keep a book of accounts, in which...
§ 71-5-2208. Examination and Preservation of Accounts - Code 1858, § 1603; Shan., § 2687; Code 1932, §...
§ 71-5-2209. Liability for Expenditures - The commissioners shall be jointly and severally liable for the...
§ 71-5-2210. Annual Report - The commissioners shall report to the county legislative body, at...
Part 23 - Miscellaneous Provisions
§ 71-5-2301. Allowances by County Legislative Body - The county legislative body may, in its discretion, allow and...
§ 71-5-2302. Exemption From Road Service - The county legislative body may exempt from working on public...
§ 71-5-2303. Contract for Support With Use of Farm - The county legislative body may also let out the support...
§ 71-5-2304. Contracts for Support of Poor - The county legislative body may also contract with any person...
§ 71-5-2305. Employment of Poor by Contracts - Such contractors under §§ 71-5-2303 and 71-5-2304 may employ a...
§ 71-5-2306. Supervision of Contractors - The commissioners of the poor are required, if the poor...
§ 71-5-2307. Setting Aside Contract - The county legislative body has the power, upon good cause...
§ 71-5-2308. Contracts for Hospital Care - For the purpose of caring for indigent sick or injured...
§ 71-5-2309. Order to Receive County Patient - Whenever any county legislative body has so contracted, and it...
§ 71-5-2310. Hospitalization Attained by County Mayor - In the event any county legislative body fails to make...
§ 71-5-2312. Attendance of Patients by County Physicians - Whenever any county patient, coming from the county wherein such...
§ 71-5-2313. Welfare Recipients May Choose Optometrist or Physician — Exception — Fee Schedule - Whenever under any program for aid to the indigent, the...
§ 71-5-2314. Payment of Claims Under Tenncare Partners Program - This section is intended to ensure the prompt and accurate...
Part 24 - Tennessee Tenncare Pharmacy Advisory Committee
§ 71-5-2402. Removal of Member - A state TennCare pharmacy advisory committee member shall be removed...
Part 25 - Tenncare Fraud and Abuse
§ 71-5-2501. Short Title - This part shall be known and may be cited as...
§ 71-5-2502. Office of Inspector General - There is created a division of state government which shall...
§ 71-5-2503. Part Definitions - As used in this part and part 26 unless the...
§ 71-5-2504. Rules and Regulations - The commissioner is authorized to promulgate rules and regulations, including...
§ 71-5-2505. Authority - The office of inspector general shall have the authority to:
§ 71-5-2508. Medicaid Fraud Control Unit - There is established a medicaid fraud control unit, which is...
§ 71-5-2510. Investigations of Fraud or Abuse Involving Managed Care Organizations - Notwithstanding any other provision of this chapter or of title...
§ 71-5-2513. Legislative Intent - The general assembly recognizes that data mining is an important...
§ 71-5-2514. Definitions - As used in §§ 71-5-2513 — 71-5-2521, unless the context...
§ 71-5-2515. Data Provided to the Inspector General - All persons and entities under contract with the TennCare bureau...
§ 71-5-2518. Rules and Regulations - The inspector general shall have authority to promulgate rules and...
§ 71-5-2521. Report - The office of inspector general shall include in its annual...
Part 26 - Prevention of Fraud and Abuse in Tenncare -
Part 27 - [Reserved] -