Tenn. Comp. R. & Regs. 1200-13-13 – TennCare Medicaid | Midpage

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Tennessee Rules and Regulations

Chapter 1200-13-13

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

TennCare Medicaid

1200-13-13-.01Definitions 1200-13-13-.02Eligibility 1200-13-13-.03Enrollment, Reassignment, and Disenrollment with Managed Care Contractors (Mccs)1200-13-13-.04Covered Services 1200-13-13-.05Enrollee Cost Sharing 1200-13-13-.06Managed Care Organizations 1200-13-13-.07Managed Care Organization Payment 1200-13-13-.08Providers 1200-13-13-.09Third Party Resources 1200-13-13-.10Exclusions 1200-13-13-.11Appeal of Adverse Benefit Determinations 1200-13-13-.12Other Appeals by Tenncare Applicants and Enrollees 1200-13-13-.13Member Abuse or Overutilization of the Tenncare Pharmacy Program 1200-13-13-.15Besmart