Tenn. Comp. R. & Regs. 1200-13-19-.19
Appeal of Initial Orders
Effective May 3, 2015Authority: T.C.A. §§ 4-5-202, 71-5-105, 71-5-109, and 71-5-112; 42 U.S.C. §§ 1396a(a)(3), (5), and (8); 42 C.F.R. 431 Subpart E; and 42 C.F.R. § 435.912.Tennessee Department of Health, Tennessee Department of Environment and Conservation, and, Tennessee Department of Finance and Administration
- (1) Written notice of the right to petition for stay, reconsideration, or appeal must accompany the Initial Order sent to the parties.
- (2) If an Initial Order is subject to both a timely petition for reconsideration and a petition for appeal, the petition for reconsideration will be disposed of first and a new fifteen (15) day period will start to run.
- (3) A petition for appeal from an Initial Order must be addressed to the Commissioner’s Designee and filed with the Clerk’s Office within fifteen (15) days after entry of an Initial Order and comply with T.C.A. § 4-5-315.
- (4) A petition for appeal must state its basis.
- (5) The Commissioner’s Designee, on his own motion, may review an Initial Order after giving written notice to the parties within fifteen (15) days after entry of an Initial Order.
- (6) On appeal the parties will be permitted an opportunity to file briefs. The Agency may provide the parties an opportunity to present oral argument.
- (7) The Commissioner’s Designee may enter a Final Order disposing of the proceeding or may remand the matter for further proceedings with instructions to the Administrative Judge who TENNCARE DELAY HEARINGS entered the Initial Order. When remanding a matter, the Commissioner’s Designee may order temporary relief if authorized and appropriate.
- (8) A Final Order or an order remanding the matter for further proceedings will be entered in writing within sixty (60) days after receipt of briefs and oral argument, unless that period is waived or extended with the written consent of all parties or for good cause shown. The order will identify any differences from the Initial Order and include or incorporate by express reference to the Initial Order, all information required by paragraph .18(4).
Authority: T.C.A. §§ 4-5-202, 71-5-105, 71-5-109, and 71-5-112; 42 U.S.C. §§ 1396a(a)(3), (5), and (8); 42 C.F.R. 431 Subpart E; and 42 C.F.R. § 435.912. Administrative History: Emergency rule filed November 7, 2014; effective through May 6, 2015. Original rule filed February 2, 2015; effective May 3, 2015.