TennCare | MCOs

2013 TennCare Hospice Policy

TennCare Policy Manual (2013)

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2011 Third Party Liability

June 2011 policy prohibits MCOs from requiring either authorization or denials from Medicare (coordination of benefits) for room and board for dually eligible patients.
 
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Certification of Terminal Illness - UHC

UHC Guidelines, effective July 1, 2017
UHC letter example

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THO Complaint Process Guidance

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Pre-Admission Screening and Resident Review (PASRR)