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Tenn. Comp. R. & Regs. 1200-13-16 – Medical Necessity | Midpage
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Tennessee Rules and Regulations
Division 1200
1200-13
Chapter 1200-13-16
Tenn. Comp. R. & Regs. 1200-13-16
Medical Necessity
1200-13-16-.01
Definitions
1200-13-16-.02
Introduction
1200-13-16-.03
The Scope of Tenncare’s Payment Obligation
1200-13-16-.04
Prior Authorization and Concurrent Utilization Review
1200-13-16-.05
Medical Necessity Criteria
1200-13-16-.06
Determination of Medical Necessity
1200-13-16-.07
Development of Evidence-based Medical Necessity Guidelines
1200-13-16-.08
Right to Appeal a Medical Necessity Determination