Division of TennCare Required Language - Provider Agreements) DOWNSTREAM PROVIDERTennessee • December 23rd, 2020
Jurisdiction FiledDecember 23rd, 2020This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the TennCare program (“TennCare”) as governed by the State’s designated regulatory agencies. Effective January 1, 2021, the requirements of this Appendix (unless otherwise specified below) shall also apply to CoverKids. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event Subcontractor is required to amend or supplement this Appendix as required or requested by the State and as requested by Health Plan, Provider agrees that Subcontractor shall be permitted to unilaterally initiate such additions, deletions or modifications through an amendment to the Provider’s Agreement.
Division of TennCare Required Language - Provider Agreements) DOWNSTREAM PROVIDERTennessee • May 12th, 2020
Jurisdiction FiledMay 12th, 2020This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the TennCare program (“TennCare”) as governed by the State’s designated regulatory agencies. Effective January 1, 2021, the requirements of this Appendix (unless otherwise specified below) shall also apply to CoverKids. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event Subcontractor is required to amend or supplement this Appendix as required or requested by the State and as requested by Health Plan, Provider agrees that Subcontractor shall be permitted to unilaterally initiate such additions, deletions or modifications through an amendment to the Provider’s Agreement.
TENNCARE PROGRAMTennessee • July 25th, 2019
Jurisdiction FiledJuly 25th, 2019This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the TennCare program (“TennCare”) as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event Subcontractor is required to amend or supplement this Appendix as required or requested by the State and as requested by Health Plan, Provider agrees that Subcontractor shall be permitted to unilaterally initiate such additions, deletions or modifications through an amendment to the Provider’s Agreement.
Division of Te nnCare Re quire d Language - Provider Agreements) DOWNSTREAM PROVIDERTennessee • December 3rd, 2018
Jurisdiction FiledDecember 3rd, 2018This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the TennCare program (“TennCare”) as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event Subcontractor is required to amend or supplement this Appendix as required or requested by the State and as requested by Health Plan, Provider agrees that Subcontractor shall be permitted to unilaterally initiate such additions, deletions or modifications through an amendment to the Provider’s Agreement.
Bureau of TennCare Required Language - Provider Agreements) DOWNSTREAM PROVIDERTennessee • April 5th, 2017
Jurisdiction FiledApril 5th, 2017This Appendix applies with respect to the provision of health care services that Provider provides directly to Covered Persons through Health Plan’s (as defined herein) products or benefit plans under the TennCare program (“TennCare”) as governed by the State’s designated regulatory agencies. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise required by law. In the event Subcontractor is required to amend or supplement this Appendix as required or requested by the State and as requested by Health Plan, Provider agrees that Subcontractor shall be permitted to unilaterally initiate such additions, deletions or modifications through an amendment to the Provider’s Agreement.