Tennessee HB0364 amends TennCare to allow consideration of a patient's overall condition in determining medical necessity and funding.
Tennessee HB0364 amends TennCare by allowing the consideration of a patient's overall condition in determining the level of funding and medical items and services, even if it does not result in the least costly treatment. This includes factors such as mobility, cognitive awareness, need for nursing supervision, and use of life-sustaining equipment. The act takes effect July 1, 2025.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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