Tenn. Comp. R. & Regs. 1200-13-05-.07 - CHANGES TO HOSPITAL RATES NEGOTIATED BETWEEN MCOS AND HOSPITALS AFTER SEPTEMBER 30, 2015
To ensure that each hospital's total TennCare reimbursement remains within the Rate Corridors, proposed rate changes after September 30, 2015, shall be evaluated by the Bureau to determine if the proposed rate change will move the hospital's total TennCare rates outside of the Rate Corridors. If the evaluation indicates the change will put the hospital outside of the Rate Corridors, the Bureau shall provide the adjustments necessary to ensure that the contract is compliant with the limits of the Rate Corridors. TennCare rates between a hospital and an MCO may not be modified after September 30 , 2015, without approval from the Bureau.
Authority: T.C.A. §§ 4-5-208, 71-5-105, 71-5-109, 71-5-2801.
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