reglab/housing_qa huggingface dataset:
TN Code § 71-5-190 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-190. Tenncare Prescription Drug Utilization Review Committee

  In order to provide oversight of prescription drug utilization under the TennCare program, there is hereby created a TennCare prescription drug utilization review committee. The committee shall consist of: one (1) member of the house of representatives appointed by the speaker of the house; one (1) member of the senate appointed by the speaker of the senate; and two (2) pharmacists, two (2) physicians, two (2) representatives of managed care organizations, two (2) representatives of pharmaceutical companies and two (2) consumers, all of whom shall be appointed by the comptroller of the treasury. The TennCare bureau shall provide to the committee such information as the committee deems appropriate concerning the prescriptions made to TennCare enrollees who receive more than seven (7) prescriptions. The committee shall review such information and make recommendations to the health and welfare committee of the senate, the health committee of the house of representatives, the committee of the house of representatives having oversight over TennCare, and the TennCare bureau concerning potential drug interactions, abuse of prescription drugs or other appropriate matters.    Non-legislative members of the committee shall serve without compensation, but they shall be entitled to reimbursement for all necessary expenses incurred in the performance of their duties, in accordance with the comprehensive state travel regulations promulgated by the commissioner of finance and administration and approved by the attorney general and reporter.   Legislative members of the committee shall not receive from the state an expense allowance or mileage allowance paid solely in consideration for serving on or attending meetings of the committee; provided, that this subdivision (b)(2) shall at no time preclude a legislative member from receiving an expense allowance or mileage allowance otherwise payable to such member in connection with attending the general assembly.
TN Code § 71-5-191 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-191. Uniform Tenncare Claims Process

   Not later than January 1, 2002, the commissioner of commerce and insurance, in consultation with the commissioner of health, shall develop and promulgate by rule a uniform TennCare claims process that contains standardized instructions for completing the form and creates standardized responses to questions and other information required on the form, for providers and managed care organizations participating in the TennCare program to use in the submission of claims by providers seeking payment. Each managed care organization, or its designee that participates in the TennCare program may participate in the development of such uniform claims process. The commissioner of commerce and insurance shall notify all such managed care organizations no less than ten (10) days prior to any and all meetings concerning the development of such claims process to enable such organizations to provide input on the development of such claims process. The uniform process shall require that managed care organizations participating in the TennCare program shall not deviate from the uniform process established by rule pursuant to this section, unless such deviation is specifically approved in writing by TennCare prior to any change being implemented that might result in a claim being rejected for payment. TennCare shall not approve any changes to standardized instructions that do not relate to using alternative codes to facilitate payment for delivered services. Compliance with this section shall be added as a component of the comptroller's annual audit. In addition, such managed care organizations shall be required to develop and implement procedures to ensure that health care providers are regularly informed and educated by the managed care organization regarding billing and claims processing procedures.   Any managed care organization that fails to comply with this section shall be subject to the penalties set forth in § 56-32-116 or, in the alternative, § 56-32-120.   Such rules shall be promulgated in accordance with the Uniform Administrative Procedures Act, compiled in title 4, chapter 5.     If this section conflicts with any applicable federal waiver concerning medical assistance services delivered pursuant to chapter 5, part 1 of this title, then the commissioner of health is directed to seek an appropriate modification or amendment to such waiver to permit the implementation of this section.   This section shall be construed so as to be consistent with the terms of any applicable federal waiver for the provision of medical assistance.
TN Code § 71-5-192 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-192. Information Management System

 On or before January 1, 2004, a comprehensive, integrated information management system will be operational for the bureau of TennCare. Not less frequently than quarterly, the division of strategic technology solutions in the department of finance and administration shall provide progress assessments concerning such system to the information systems council (ISC) and the fiscal review committee.
TN Code § 71-5-193 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-193. Children's Mental Health Care — Development of Interagency Projects and Programs

 The department shall involve the council in the development of interagency projects and programs, whether state or federally funded, related to children's mental health care, except where otherwise prohibited by state or federal law.
TN Code § 71-5-194 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-194. Spend Down Eligibility for Medical Assistance

 On or before July 1, 2003, the department of human services shall make available on the department of human services' web page all rules, operating procedures and any other similar material relative to determining an individual's spend down eligibility for medical assistance under this chapter and the operating procedures and any other similar material necessary for a pharmacy to determine which prescriptions used to qualify the patient for TennCare through the spend down eligibility criteria are eligible to be billed to the TennCare program based on the effective date of eligibility for medical assistance.
TN Code § 71-5-195 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-195. Study on Use of Prescription Drugs in Nursing Homes

 The comptroller of the treasury, in conjunction with any appropriate TennCare drug utilization review committees, shall study the use of prescription drugs in nursing homes and the costs of those prescription drugs for residents of nursing homes. The study shall examine prescription use overall, and shall focus on any practices that would improve the quality of resident care while reducing costs to the TennCare program. By January 1, 2005, the comptroller of the treasury shall deliver its report to the speakers of the respective houses of the general assembly.
TN Code § 71-5-196 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-196. Veterans Education Benefits

 Notwithstanding any other provision of this chapter, to the extent permitted by federal law, the value of federal veterans education benefits received by an applicant shall not be included as any form of income when making eligibility determinations for assistance under this part.
TN Code § 71-5-198 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-198. Prescription Drug Program Waiver

  If necessary, the bureau of TennCare is authorized to seek a research and demonstration waiver under Section 1115 of the federal Social Security Act from the United States department of health and human services to create a TennCare prescription program, subject to funding by the general assembly and the terms and conditions imposed by the waiver.   To the extent and only to the extent permitted by federal law or the terms of the waiver, the TennCare prescription program may provide a prescription benefit to individuals lacking prescription drug insurance coverage who meet criteria established by the bureau of TennCare and the general assembly in its annual appropriation bill.   To the extent permitted by federal law and the TennCare waiver, the bureau of TennCare may implement, either independently or in combination with a state preferred drug list (PDL), cost saving measures for pharmaceutical services including, but not limited to, tiered co-payments, reference pricing, prior authorization, step therapy requirements, exclusion from coverage of drugs or classes of drugs, mandating the use of generic drugs, and mandating the use of therapeutic equivalent drugs.   To the extent permitted by federal law or the terms of the waiver, the bureau of TennCare, through a state pharmacy benefit manager (PBM) or on its own, may negotiate manufacturer rebates for TennCare prescription drug purchases. The bureau of TennCare shall retain ultimate authority to negotiate or contract directly with a pharmaceutical manufacturer, in the interest of implementing rebates or other cost saving measures and for other purposes permitted by this section. Notwithstanding anything under Tennessee law to the contrary, the bureau's designation of a negotiating agent shall not infringe upon the state's ability to negotiate and contract directly with pharmaceutical manufacturers.   To the extent permitted by federal law or the terms of the waiver, the bureau of TennCare may establish an open enrollment period based on appropriations from the general assembly.   To the extent permitted by federal law or the terms of the waiver, the bureau of TennCare may contract with another department or a private entity to conduct an eligibility determination. The bureau or a contracted entity may implement an eligibility determination process to ensure participants comply with eligibility standards set by the bureau and the general assembly.   As permitted by the waiver or federal law, program participants may purchase prescription drugs through pharmacies participating in the state network.   To the extent permitted by federal law or the terms of the waiver, the bureau of TennCare may establish an enrollment fee to defray administrative expenses associated with the program.
TN Code § 71-5-199 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 1 - Medical Assistance Act|§ 71-5-199. State Preferred Drug List

 The bureau of TennCare may, in its sole discretion, adopt or amend a state preferred drug list (PDL). The adoption or amendment of a PDL, and the recommendations of the TennCare pharmacy advisory committee to the bureau are not agency actions and do not require rulemaking.
TN Code § 71-5-201 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 2 - Community Clinics|§ 71-5-201. Reimbursement for Services — Authorization

  Any community or neighborhood health organization or clinic providing medical services to patients through the utilization of medical students presently enrolled in a medical school accredited by the Association of American Medical Colleges, licensed registered nurses, qualified physician assistants, or any combination of students, registered nurses, and physician assistants where such students, registered nurses, and physician assistants, are under the direction of a licensed physician or physicians, may receive payment for their per patient expenses, or portion of the expenses, which may include, but are not limited to, administrative expenses, overhead expenses, and salaries.   Nothing contained within this section shall be construed to authorize or permit direct payment, by the state, of medicaid to any physician assistant.
TN Code § 71-5-202 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 2 - Community Clinics|§ 71-5-202. Restrictions on Services

 Medical services that are presently provided in specialized public health facilities as in tuberculosis hospitals, mental institutions, and institutions providing highly specialized inpatient care shall not be undertaken by the organizations and clinics covered by this part, and such services will be rendered under present statutes on a referral basis from such organizations and clinics.
TN Code § 71-5-301 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 3 - Food Assistance|§ 71-5-301. Short Title

 This part may be cited as and shall be known as the “Food Stamp Act of 1971.”
TN Code § 71-5-302 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 3 - Food Assistance|§ 71-5-302. Purpose

 The purpose of this part is to provide for improved levels of nutrition among economically needy households through a cooperative federal-state program of food assistance to be operated in such counties of this state as may be certified by the department of human services and designated by the secretary of the United States department of agriculture, or its successor agency, to participate in the food stamp program in accordance with the requirements of Public Law 88-525 (7 U.S.C. § 2011 et seq.), and any amendments to that law or any other subsequently enacted federal statutes on the same subject.
TN Code § 71-5-303 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 3 - Food Assistance|§ 71-5-303. Part Definitions

 As used in this part, unless the context requires otherwise:   “Applicant” means any person who has applied for benefits under this part;   “Area manager” means the director or manager of the county or area office of the department of human services;   “Assistance” or “food assistance” means food stamp coupons, free food stamps or food purchase assistance that is issued or transferred by means of food coupons, food stamps, electronic benefits transfer processes or other means as determined by the department to an eligible household or low-income family pursuant to this part;   “Commissioner” means the commissioner of human services;   “County office” means the county office of the department of human services in the county where the applicant or recipient resides and in which county a food stamp program is currently in operation;   “Department” means the department of human services;   “Food coupons” or “food stamps” means obligations of the United States government issued or transferred by means of food coupons or food stamps to enable the purchase of food for the eligible household;    “Food stamp program or programs” includes the program that enables persons determined eligible for the provision of assistance by the governments of the United States or the state of Tennessee pursuant to this part, to purchase foodstuffs and includes food coupons, food stamps, electronic benefits transfer processes or other means as may be approved for this purpose by the department;   The commissioner of human services shall have authority to establish a system for distribution of any benefits provided by this part by means of an electronic benefits transfer system or by such other means as the commissioner shall determine is appropriate;     “Recipient” means any person who has been determined to be eligible to receive benefits under this part and who has received such benefits; and   “Resident,” for the purpose of this part, means any individual who is living within a county in this state in which a food stamp program is in operation, with the intent that such individual's permanent home be within the county, and not temporarily. The department shall adopt rules and regulations under which it shall make this determination; provided, that temporary absences from the state or county shall not cause a person to lose residential status.
TN Code § 71-5-304 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 3 - Food Assistance|§ 71-5-304. Duties of Department

 The department shall:   Supervise the administration of the food stamp or food assistance program in this state for eligible recipients;   Make uniform rules and regulations, not inconsistent with law, for carrying out and enforcing this part in an efficient, economical and impartial manner, to the end that the food stamp or food assistance program may be administered uniformly in all counties of this state that have been designated by the United States secretary of agriculture to participate in the food stamp or food assistance program and in which counties a food stamp or food assistance program is currently in operation;   Establish state-wide standards for determining the amount of food stamp assistance or food assistance any person, household or family shall receive under this part;   Cooperate with the secretary of the United States department of agriculture, or any federal officer or agency made successor to the department of agriculture, in any reasonable manner as may be necessary to qualify for federal aid for food stamp assistance or food assistance in conformity with this part, including the making of such reports in such form and containing such information as the secretary of agriculture, or any federal officer or agency made successor to the department of agriculture, may from time to time require, and comply with such provisions as such secretary may from time to time find necessary to assure the correctness and verification of such reports;   Establish and enforce safeguards to prevent unauthorized disclosures or improper use of information contained in applications, reports of investigations, and correspondence in the individual case records of recipients of food coupons, food stamps or food assistance transferred electronically or by other means; and   Adopt rules and regulations for the implementation of a sliding scale of benefit reduction for individuals receiving food coupons, food stamps or food assistance transferred electronically or by other means for six (6) months or longer in which benefits do not abruptly terminate when a recipient earns above a certain maximum amount, but instead, such benefits gradually lessen in increments of twenty-five percent (25%) of the individual's total benefit every three (3) months; provided, that no rules and regulations shall conflict with federal legislation or provide benefits exceeding federal maximum income guidelines, and no such rules and regulations shall be promulgated that shall cause a decrease or suspension of federal funding. This subdivision (6) shall take effect only to the extent that such provisions are consistent with federal laws and regulations governing the temporary assistance for needy families (TANF) and food stamp or food assistance programs and only to the extent federal financial participation under such programs is available therefor.
TN Code § 71-5-305 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 3 - Food Assistance|§ 71-5-305. Eligibility Requirements for Assistance

 Assistance under this part shall be granted to any needy person, household or low-income family that meets the requirements set forth in federal statutes and such standards of need as may be established by the department or required by any subsequently enacted federal statute on the same subject.
TN Code § 71-5-306 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 3 - Food Assistance|§ 71-5-306. Determination of Amount of Assistance

 The amount of assistance to which any person, household or family shall be entitled to receive in the form of food coupons, food stamps or food purchase benefits transferred electronically or by other means under this part shall be determined by measuring the income and resources of such person, household or family against the state-wide standards provided in § 71-5-304(3) and shall be approved by the area manager or the area manager's designated agent in accordance with the rules and regulations made by the department. Any amount of earned income required by federal statute to be exempt in determining need shall be exempt and shall not be considered as a resource in determining the amount of assistance to be paid to any person under this part.
TN Code § 71-5-307 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 3 - Food Assistance|§ 71-5-307. Method of Applying for Assistance

 An applicant for assistance under this part, or a person acting in an applicant's behalf, shall file the application in the county office in the county wherein the applicant resides and in which county a food stamp program is currently in operation, in such manner and form as shall be prescribed by the department.
TN Code § 71-5-308 (2021)
2021 Tennessee Code|Title 71 - Welfare|Chapter 5 - Programs and Services for Poor Persons|Part 3 - Food Assistance|§ 71-5-308. Investigation of Applications — Determination of Eligibility

  When an application for food stamp assistance is filed with the county office, the area manager, or a designated agent, shall promptly make or cause to be made such investigation as it may deem necessary. The object of such investigation shall be to ascertain facts supporting the application and such other information as may be required by the rules and regulations of the department. Upon the completion of such investigation, the area manager or the area manager's designated agent shall, within a reasonable period of time, determine eligibility.    Pursuant to the option granted the state by 21 U.S.C. § 862a(d), an individual convicted under federal or state law of a felony involving possession, use or distribution of a controlled substance shall be exempt from the prohibition contained in 21 U.S.C. § 862a(a) against eligibility for food stamp program benefits for such convictions, if such person, as determined by the department:    Is currently participating in a substance abuse treatment program approved by the department of human services;   Is currently enrolled in a substance abuse treatment program approved by the department of human services, but is subject to a waiting list to receive available treatment, and the individual remains enrolled in the treatment program and enters the treatment program at the first available opportunity;   Has satisfactorily completed a substance abuse treatment program approved by the department of human services; or   Is determined by a treatment provider licensed by the department of health, division of alcohol and drug abuse services, not to need substance abuse treatment according to TennCare guidelines; and     Is complying with, or has already complied with, all obligations imposed by the criminal court, including any substance abuse treatment obligations.     Eligibility based upon the factors in subdivision (b)(1) must be based upon documentary or other evidence satisfactory to the department, and the applicant must meet all other factors for program eligibility.   Notwithstanding subdivision (b)(1)(A) or (b)(1)(B) to the contrary, no person convicted of a Class A felony for violating a provision of title 39, chapter 17, part 4 shall be eligible for the exemptions provided by this subsection (b).