Amends TCA Title 4 and Title 71.
Tennessee SB0650 amends existing law regarding the determination of medical necessity for enrollees in the TennCare program. The bill requires the bureau of TennCare to consider a patient's overall condition, including factors such as mobility, cognitive awareness, and need for life-sustaining equipment, when determining funding for medical items and services, potentially allowing for coverage that does not align with the least costly treatment option. This change affects TennCare enrollees and aims to provide a more comprehensive assessment of medical necessity.
Tennessee SB0650 amends existing law regarding the determination of medical necessity for enrollees in the TennCare program. The bill requires the bureau of TennCare to consider a patient's overall condition, including factors such as mobility, cognitive awareness, and need for life-sustaining equipment, when determining funding for medical items and services, potentially allowing for coverage that does not align with the least costly treatment option. This change affects TennCare enrollees and aims to provide a more comprehensive assessment of medical necessity.
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