News & Updates
COORDINATING PROVISIONS-STATE/FEDERAL LAW, ACCREDITATION STANDARDS AND GEOGRAPHIC EXCEPTIONS TENNESSEE
Scope: To the extent of any conflict between the Agreement, including the administrative handbook as herein incorporated by reference, and this State Law Coordinating Provisions (“SLCP”) Exhibit, this SLCP Exhibit shall supersede, govern and control to the extent required by federal and/or state law and to the extent that MPI, Group and/or Client are subject to such federal or state law.
Terms: The terms used in this exhibit are the defined terms as specified in the applicable federal and/or state law. The specific form Agreement between the parties may utilize defined terms other than those noted in the federal and/or state law(s). For purposes of this exhibit, provider means a licensed facility or licensed, registered or certified health care professional(s) contracted to provide health care services under this Agreement
II. FEDERAL LAW COORDINATING PROVISIONS:
Federal Employees Health Benefits (“FEHB”). As applicable, this Agreement is subject to the terms of the laws governing FEHB.
Federal Employees Health Benefits (“FEHB”) Plan. The parties agree that any and all claims or disputes relating to such benefits under a FEHB Plan will be governed exclusively by the terms of such federal government contract and federal law, whether or not such terms and laws are specified in this SLCP Exhibit or elsewhere in this Agreement.
III. STATE LAW COORDINATING PROVISIONS: TENNESSEE
Where the statutory requirement is an additional obligation not otherwise specified in the Agreement, the parties agree that the statutory requirement will be added as an obligation. Where the statutory requirement specifically conflicts with a current obligation, the statutory requirement shall take precedence and replace the existing obligation as to the statutory requirement only, and shall not void any other valid provision of this Agreement. The statutory requirements identified below are limited to only those entities specifically covered by the statute.
1. Assignability. As required by T.C.A. §50-6-215(c), the list of contracted medical providers may be sold, leased, transferred, or conveyed to other payors or agents, including workers' compensation insurers or self insureds. Workers' compensation payors to whom the list of contracted medical providers may be sold, leased, transferred, or conveyed may be permitted to pay a medical provider's contracted rate if less than the workers' compensation fee schedule.
IV. ACCREDITATION STANDARDS COORDINATING PROVISIONS:
There are no Accreditation Standards Coordinating Provisions at this time.
V. GEOGRAPHIC EXCEPTIONS COORDINATING PROVISIONS: TENNESSEE
As allowed by T.C.A. §9-8-307(e), if provider is a state employee, as defined by T.C.A. §8-42-101 (3)(A), provider will maintain professional liability insurance and comprehensive general liability insurance in an amount necessary to cover its statutory liability. Pursuant T.C.A. §9-8-307(e), such provider’s statutory liability is limited to $300,000 per claimant and $1,000,000 per occurrence.