Amends TCA Title 68 and Title 71, Chapter 5.

This bill requires the bureau of TennCare to make available to all nursing facility providers an electronic system for the submission of Medicare crossover claims. The system must be available by October 1, 2022, and must permit providers to submit and track the status of each Medicare crossover claim as the claim is processed for adjudication. For purposes of this bill, "Medicare crossover claim": (1) Means a claim that has been submitted to the bureau of TennCare for Medicare cost sharing payments after the claim has been adjudicated and paid by Medicare and Medicare has determined the enrollee's liability; and (2) Does not include claims denied by Medicare or claims that are not submitted to Medicare. If a facility files a written notice of appeal of the denial of a Medicare crossover claim within 60 days of the date the initial claim is denied, then this bill requires the bureau to conduct a contested case hearing concerning the denial of the claim within 30 business days of receipt of the written notice and render a decision within 10 business days following the conclusion of the hearing.