Tenn. Comp. R. & Regs. 1200-13-05-.06

Current through June 26, 2024

Section 1200-13-05-.06 - AGREEMENTS BETWEEN HOSPITALS AND MCOS FOR LIMITED SERVICES

Rates for a single case agreement negotiated between the MCOs and hospitals that are not in network with the MCOs to ensure access to services for TennCare enrollees may not exceed the ceiling or be below the floor of the Rate Corridors appropriate for those services.

Tenn. Comp. R. & Regs. 1200-13-05-.06

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 12/20/2015.

Authority: T.C.A. §§ 4-5-208, 71-5-105, 71-5-109, and 71-5-2801.