Tenn. Comp. R. & Regs. 1200-13-02-.17 - OTHER REIMBURSEMENT ISSUES
(1) No change of
ownership or controlling interest of an existing Medicaid provider, including
NFs, can occur until monies as may be owed to TennCare or its contractors are
provided for. The purchaser shall notify TennCare of the purchase at the time
of ownership change and is financially liable for the outstanding liabilities
to TennCare or its contractors for one (1) year from the date of purchase or
for one (1) year following TennCare's receipt of the provider's Medicare final
notice of program reimbursement, whichever is later. The purchaser shall be
entitled to use any means available to it by law to secure and recoup these
funds from the selling entity. In addition, purchasers of NFs are responsible
for obtaining an accurate accounting and transfer of funds held in trust for
Medicaid residents at the time of the change of ownership or controlling
interest.
(2) If TennCare or an MCO
has not reimbursed a business for TennCare services provided under the TennCare
Program at the time the business is sold, when such an amount is determined,
TennCare or the MCO shall be required to reimburse the person owning the
business provided such sale included the sale of such assets.
Notes
Authority: T.C.A. ยงยง 4-5-202, 71-5-105, 71-5-109, and 71-5-1413.
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