Primary care provider and Community Mental Health Agency services other than preventive care • $5.00 for TennCare Standard children with incomes between 100% and
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2 The specific items that must be furnished and the methods for furnishing them to the Bureau of TennCare are described below.
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Magellan Pharmacy Solutions, Inc. TennCare Pharmacy Network Agreement Proprietary & Confidential Page 3 of 41 Revision Date: April 1, 2013 1.11 “Long Term Care
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