Transcription of QUICK GUIDE - Tennessee
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Page | 1 QUICK GUIDE This GUIDE is an alphabetical listing of covered and non-covered services, products, and supplies. This is not meant to be an exhaustive GUIDE to all TennCare coverage policies or a complete list of all TennCare-covered or non-covered services. A listing of TennCare-covered services, products, and supplies can be found in TennCare Rules & Regulations at: [TennCare CHOICES] [TennCare Medicaid] [TennCare Standard] [Medical Necessity] A listing of services, products, and supplies that are specifically excluded from TennCare coverage can be found in TennCare Rules & Regulations at: [TennCare Medicaid] [TennCare Standard] Addi
Breast Surgery – See Reconstructive Breast Surgery Breathing Equipment – Not Covered, except for peak flow meter spirometers, which are covered for medical management of asthma. [Rules 1200-13-13-.10 & 1200-13-14-.10] Bypass Surgery – See Bariatric Surgery. Carbon Dioxide Therapy – Not Covered [Rules 1200-13-13-.10 & 1200-13-14-.10]
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