The Tennessee Utilization Review Notification Form is a document issued by the Tennessee Department of Health to notify providers of their obligation to comply with utilization review (UR) requirements. This form must be completed by providers who are subject to the Tennessee Department of Health’s UR requirements and must be filed with the department. The form informs providers of the UR requirements, including the submission of all UR forms, the provision of timely and appropriate care, and the proper handling of UR requests. There are two types of Tennessee Utilization Review Notification Forms: the Standard Form and the Special Needs Form. The Standard Form is used to notify providers of their obligation to comply with UR requirements while the Special Needs Form is used to notify providers of their obligation to provide specialized services and care to patients with special needs. Both forms contain the same information but differ in the specific information that they require from providers.
Tennessee Utilization Review Notification Form
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How to fill out Tennessee Utilization Review Notification Form?
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