Tenn. Code Ann. § 56-7-2356. Network adequacy: Mandated Insurer or Plan Coverage – Tennessee

Status: Enacted
Year Enacted: 1998
File: Download

Provides that “[e]ach managed health insurance issuer that offers a plan that limits its enrollees’ choice of providers shall maintain a network that is sufficient in numbers and types of providers to assure that all covered benefits to covered persons will be accessible without unreasonable delay.” Network adequacy standards are judge on the basis of primary care provider-covered person ratios and geographic accessibility, among other requisite facility and provider standards.

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