1200-13-05-.05

Tenn. Comp. R. & Regs. 1200-13-05-.05

Out-of-network Reimbursement

Effective Dec 20, 2015Authority: T.C.A. §§ 4-5-208, 71-5-105, 71-5-109, and 71-5-2801Tennessee Department of Health, Tennessee Department of Environment and Conservation, and, Tennessee Department of Finance and Administration

Out-of-Network payments to all hospitals shall be governed by TennCare Medicaid Rule 1200-13-13- .08(2)(a)-(c) and TennCare Standard Rule 1200-13-14-.08(2)(a)-(c).

Authority: T.C.A. §§ 4-5-208, 71-5-105, 71-5-109, and 71-5-2801 Administrative History: Original rule filed June 26, 1985; effective July 26, 1985. Emergency rule filed July 1, 2015; effective through December 28, 2015. Amendment filed September 21, 2015; effective December 20, 2015.