1. (1) In-patient hospitalization must be prior approved when the Hemophilia Program is the primary payor.
2. (2) No payment shall be made for services rendered to any participant who is receiving services under these Rules unless and until all third party payment sources available have been exhausted.
3. (3) Dental services must have prior authorization and will be reimbursed based on TennCare’s Schedule of Allowable Fees. TennCare’s authorized dental contractor is responsible for administering TennCare covered dental benefits for eligible members.
4. (4) With the exception of emergency services, all services provided under these Rules must be obtained within the State.

Authority: T.C.A. § 68-36-104. Administrative History: Original rule filed April 3, 1974; effective May 3, 1974. Amendment filed July 27, 1977; effective August 26, 1977. Repeal and new rule filed May 15, 2000; effective September 28, 2000. Amendments filed August 21, 2025; effective November 19, 2025.