Tenn. Comp. R. & Regs. 0465-01-02-.17

Current through December 18, 2024

Section 0465-01-02-.17 - RATE SETTING METHODOLOGIES FOR CLINICAL SERVICES

(1) The unit for all types of therapy services and nursing services is a quarter hour.

(2) The unit for behavioral services is one quarter (1/4) of an hour.

(3) The rate for clinical services is based on comparison with national rates of payment and comparable rates of payment within the State for like services.

Tenn. Comp. R. & Regs. 0465-01-02-.17

Original rule filed December 12, 2013; effective March 12, 2014. Amendments filed October 7, 2019; effective 1/5/2020.

Authority: T.C.A. §§ 4-3-2701, 4-3-2707, 4-4-103, 4-5-201, et seq., 4-5-208, et seq. and its applicable regulations concerning emergency rules, 33-1-201, 33-1-202, 33-1-203(1) and (6), 33-1-204, 33-1-301, 33-1-302, 33-1-302(a)(3) and (a)(4), 33-1-303, 33-1-303(3) and (11), 33-1-304, 33-1-305(1), and 33-1-309(d); Executive Order of the State of Tennessee No. 23, dated October 19, 1999; State of Tennessee Delegated Purchase Authority DP 10-28649-00 Reg. 515; and the "Reimbursement Rate" for Medical Services under DIDD federal waiver(s) for provision of services as administered by TennCare.