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The SPA increases the nonemergency services’ limit to $2,000 per fiscal year to align with the administrative rule change and clarifies the prior authorizations requirements to align with current practice.
The purpose of this SPA is to amend the provisions governing outpatient hospitals in order to update reimbursement to out-of-state hospitals for consistency with in-state rates.
This SPA increased the fee-for-service reimbursement behavioral health rates by an aggregate average of 30 percent and also removed interpreter services from this page as interpreter services are approved for all programs under TN 22-0009.