Tenn. Comp. R. & Regs. 1200-13-02-.02

Current through December 18, 2024

Section 1200-13-02-.02 - DETERMINATION OF PAYMENT

TennCare, in consultation with the Comptroller and the Tennessee Health Care Association (THCA), shall establish the rules for the determination of payment for services provided to Medicaid recipients as part of the NF program. Payment determination components shall include acuity adjusted direct care, non-acuity adjusted direct care, quality, administration, fair market value capital, and a cost-based component. Other NF stakeholders shall have input into the quality component of the rate.

Original rule filed January 18, 1979; effective March 5, 1979. Repeal filed May 5, 2009; effective July 19, 2009. New rules filed May 1, 2018; effective 7/30/2018.

Authority: T.C.A. §§ 4-5-202, 14-1905, 71-5-105, 71-5-109, and 71-5-1413.