Tennessee Tennessee UM – 10.7.19 I.  Scope and Applicability A. Who is subject to the state’s utilization management regulations?  Any person or entity, including the state performing utilization review. Tenn. Code Ann. § 56-6-703(11) HMO’s? HMO’s have their own utilization review requirements.  HMO’s can enforce reasonable peer review or utilization review protocols. Tenn. Code Ann. § […]

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