· 5/21/2025

The Chattanooga-Hamilton County Hospital Authority v. Division of TennCare

Syllabus

A hospital system that was the aggrieved party in this contested case before The Division of TennCare, Department of Finance and Administration sought judicial review of the agency's decision upholding the validity of two TennCare rules. The two rules regulate reimbursement rates for emergency services provided to Tennessee's Medicaid beneficiaries when the provider of those emergency services does not have a contract with the managed care organizations that insure the beneficiaries. The Davidson County Chancery Court reversed the agency's decision and held that the two rules were invalid and void ab initio. We affirm.

Judges: Judge John W. McClarty

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