Tennessee Code Title 56. Insurance § 56-7-1018

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

(2) “Health benefit plan” means health insurance coverage as defined in § 56-7-109; and

(3) “Health insurer” means a health insurance entity as defined in § 56-7-109.

(1) Shall not consider the location where the complex rehabilitation technology will be used when making a determination of medical necessity; and

(2) Shall offer covered persons a prior authorization process that reviews billable codes and provides coverage determinations for complex rehabilitation technology.

(1) Shall pay one hundred percent (100%) of the amount approved in the prior authorization, subject to applicable copayment, coinsurance, or deductible requirements as provided in the policy; and

(2) Shall not seek payment or reimbursement from the covered person, a complex rehabilitation technology vendor, or another party involved with the sale or delivery of the complex rehabilitation technology.