Section 1200-13-17-.05 - PROVIDER ENROLLMENT AND PARTICIPATION REQUIREMENTS(1) Medicare providers who are licensed professionals and who wish to bill for services provided to Medicare beneficiaries must enroll with the TennCare program and obtain TennCare Medicaid identification numbers.(2) Participation in the TennCare/Medicare crossover program is limited to providers who maintain current Tennessee medical licenses and/or current licenses in the states in which they practice.(3) Providers must be licensed and accredited according to the specific laws and regulations that apply to their service type.(4) Health care providers who are required under Tennessee law to render services under the supervision of other health care providers will not be assigned TennCare identification numbers. These providers' claims must be submitted by the licensed or certified health care providers who supervise them.Tenn. Comp. R. & Regs. 1200-13-17-.05
Public necessity rule filed July 1, 2008; effective through December 13, 2008. New rule filed September 24, 2008; effective December 8, 2008.Authority: T.C.A. 4-5-202, 71-5-105, and 71-5-109.