Chapter 1200-13-16 - Medical Necessity
- Section 1200-13-16-.01 - DEFINITIONS
- Section 1200-13-16-.02 - INTRODUCTION
- Section 1200-13-16-.03 - THE SCOPE OF TENNCARE'S PAYMENT OBLIGATION
- Section 1200-13-16-.04 - PRIOR AUTHORIZATION AND CONCURRENT UTILIZATION REVIEW
- Section 1200-13-16-.05 - MEDICAL NECESSITY CRITERIA
- Section 1200-13-16-.06 - DETERMINATION OF MEDICAL NECESSITY
- Section 1200-13-16-.07 - DEVELOPMENT OF EVIDENCE-BASED MEDICAL NECESSITY GUIDELINES
- Section 1200-13-16-.08 - RIGHT TO APPEAL A MEDICAL NECESSITY DETERMINATION