§ 71-6-103. Rules and Regulations — Reports of Abuse or Neglect — Investigation — Providing Protective Services — Consent of Adult — Duties of Other Agencies
The commissioner has the discretion to adopt such rules, regulations, procedures, guidelines, or any other expressions of policy necessary to effect the purpose of this part insofar as such action is reasonably calculated to serve the public interest. Any person, including, but not limited to, a physician, nurse, social worker, department personnel, coroner, medical examiner, […]
§ 71-6-104. Remedies — Injunctive Relief
Any court with jurisdiction under this part may upon proper application by the department issue a temporary restraining order or other injunctive relief to prohibit any violation of this part, regardless of the existence of any other remedy at law. The court may enjoin from providing care for any person, on a temporary or permanent […]
§ 71-6-105. Reporting or Investigating Parties — Immunity From Liability — Protection From Job Discrimination
Any person making any report or investigation pursuant to this part, including representatives of the department in the reasonable performance of their duties and within the scope of their authority, shall be presumed to be acting in good faith and shall thereby be immune from any liability, civil or criminal, that might otherwise be incurred […]
§ 71-5-2517. Authority to Require Periodic Provision of Specific Data — Compliance — Format of Data — Charge for Supplying Data — Sufficient Dedicated Storage Space and Access to Software — Construction
The office of inspector general is authorized to require periodic provision of specific categories, types, or collations of data without the necessity of issuing a new request at the commencement of each period. Compliance with a request by the office of inspector general is not dependent on approval by the bureau of TennCare, and it […]
§ 71-5-2518. Rules and Regulations
The inspector general shall have authority to promulgate rules and regulations pursuant to the Uniform Administrative Procedures Act, compiled in title 4, chapter 5, as are necessary to implement §§ 71-5-2513 — 71-5-2521. The rules shall be promulgated as emergency rules. The inspector general is designated as the agency person to review initial orders and […]
§ 71-5-2519. Written Petition for Objection to Providing Access to Data — Enforcement of Obligations
A person or entity requested to provide access to data pursuant to §§ 71-5-2513 — 71-5-2521 may object to providing all or part of such access by filing a written petition with the inspector general within thirty (30) days of receipt of notice of the request to which objection is made. The petition shall be […]
§ 71-5-2520. Collections of Penalties, Fees and Costs
All funds collected as civil penalties, attorney’s fees, costs, or costs of investigation by the inspector general, pursuant to this part or part 26, shall be deposited by the state treasurer in a separate account exclusively for the use of that office to defray the expenses of continued operations involving recipient fraud and abuse, including, […]
§ 71-5-2521. Report
The office of inspector general shall include in its annual report information on the progress of its data mining efforts, including any difficulties encountered in obtaining access to data from either private or government entities, and suggestions for legislative or other solutions.
§ 71-5-2601. Offenses — Penalties — Remedies — Limitations
A person, including an enrollee, recipient, or applicant, commits an offense who knowingly obtains, or attempts to obtain, or aids or abets any person to obtain, by means of a willfully false statement, representation, or impersonation, or by concealment of any material fact, or by any other fraudulent means, or in any manner not authorized […]
§ 71-5-2602. Record Keeping
Upon submitting a claim for, or upon receiving payment for, goods, services, items, facilities or accommodations under the TennCare program, a managed care organization, provider, vendor, subcontractor, or any other person or entity, shall maintain adequate records for a minimum of five (5) years after the date on which payment was received, if payment was […]