Tennessee Code 71-5-155 – Prior authorization for CRT or manual wheelchairs prohibited – Exceptions

(a) A managed care organization shall not require a participant in a TennCare program to obtain and submit a prior authorization for repairing complex rehabilitation technology (CRT) or manual wheelchairs unless:

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Terms Used In Tennessee Code 71-5-155

Year: means a calendar year, unless otherwise expressed. See Tennessee Code 1-3-105

(1) The repairs are covered under a manufacturer’s warranty;

(2) The cost of the repairs exceeds the cost to replace the CRT or manual wheelchair; or

(3) The CRT or manual wheelchair in need of repair is subject to replacement because the age of the CRT or manual wheelchair exceeds, or is within one (1) year of the expiration of, the recommended lifespan of the CRT or manual wheelchair.

(b) As used in this section:

(1) “Complex rehabilitation technology” has the same meaning as defined in § 71-5-159; and

(2) “Managed care organization” has the same meaning as defined in § 71-5-156.

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Tennessee Code 71-5-155 – Prior authorization for CRT or manual wheelchairs prohibited – Exceptions – Section definitions

Terms Used In Tennessee Code 71-5-155

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