# Tenn. Code Ann. § 71-5-108: Payment methodology for medicaid enrollees not enrolled in medicare

> Tennessee · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-108

## Section

- **Citation:** Tenn. Code Ann. § 71-5-108
- **Heading:** Payment methodology for medicaid enrollees not enrolled in medicare
- **Jurisdiction:** Tennessee
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** TN Code / Title 71 / Chapter 5 / Section 71-5-108

## Text

The TennCare bureau is directed to submit a state plan amendment to the centers for medicare and medicaid services that sets out a payment methodology for medicaid enrollees who are not also enrolled in medicare, consistent with provisions in § 6085 of the federal Deficit Reduction Act of 2005, regarding emergency services furnished by noncontract providers for managed care enrollees. The payment amount shall be the average contract rate that would apply under the state plan for general acute care hospitals. A tiered grouping of hospitals by size or services may be utilized to administer these payments. The payment methodology developed pursuant to this section shall be budget neutral for the state fiscal year 2007-2008 when compared to the actual experience for emergency services furnished by non-contract providers for medicaid managed care enrollees prior to January 1, 2007. It is the intent that this section only applies to the emergency services furnished by noncontract providers for medicaid managed care enrollees. Acts 2007, ch. 409, § 1.
The TennCare bureau is directed to submit a state plan amendment to the centers for medicare and medicaid services that sets out a payment methodology for medicaid enrollees who are not also enrolled in medicare, consistent with provisions in § 6085 of the federal Deficit Reduction Act of 2005, regarding emergency services furnished by noncontract providers for managed care enrollees. The payment amount shall be the average contract rate that would apply under the state plan for general acute care hospitals. A tiered grouping of hospitals by size or services may be utilized to administer these payments. The payment methodology developed pursuant to this section shall be budget neutral for the state fiscal year 2007-2008 when compared to the actual experience for emergency services furnished by non-contract providers for medicaid managed care enrollees prior to January 1, 2007. It is the intent that this section only applies to the emergency services furnished by noncontract providers for medicaid managed care enrollees.
Acts 2007, ch. 409, § 1.

## Nearby sections

- [Tenn. Code Ann. § 71-5-101 Short title](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-101.md)
- [Tenn. Code Ann. § 71-5-102 Purpose](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-102.md)
- [Tenn. Code Ann. § 71-5-103 Part definitions](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-103.md)
- [Tenn. Code Ann. § 71-5-104 Administration by department](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-104.md)
- [Tenn. Code Ann. § 71-5-105 Powers and duties of department - Total number of ICF/MR beds - Certificate of need exemption for DIDD public ICF/MR non-facility beds established pursuant to federal litigation](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-105.md)
- [Tenn. Code Ann. § 71-5-106 Determination of eligibility for medical assistance](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-106.md)
- [Tenn. Code Ann. § 71-5-107 Kinds of medical services](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-107.md)
- [Tenn. Code Ann. § 71-5-108 Payment methodology for medicaid enrollees not enrolled in medicare](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-108.md)
- [Tenn. Code Ann. § 71-5-109 Expenditures not to exceed appropriation](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-109.md)
- [Tenn. Code Ann. § 71-5-110 Application for medical assistance - Application for TennCare enrollment - Notice of change in application information](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-110.md)
- [Tenn. Code Ann. § 71-5-111 Investigation - Determination of eligibility](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-111.md)
- [Tenn. Code Ann. § 71-5-112 Hearing concerning eligibility](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-112.md)
- [Tenn. Code Ann. § 71-5-113 Hearing concerning matters other than eligibility](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-113.md)
- [Tenn. Code Ann. § 71-5-114 Subpoena and examination of witnesses](https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-114.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TN_T71_C5_S71-5-108. Check the current official text before relying on it. Not legal advice.