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A resolution approving a provider participation agreement between the Metropolitan Government of Nashville and Davidson County, acting by and through the Metropolitan Board of Health, and Renaissance Life and Health Insurance Company of America, to allow the Metropolitan Government to participate in provider networks and receive payment for services provided to individuals enrolled in a TennCare Dental Benefits Management Program.
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WHEREAS, the Metropolitan Public Health Department is a provider of professional dental services; and,
WHEREAS, Renaissance Life and Health Insurance Company of America (“Renaissance”) has contracted with the State of Tennessee, Department of Finance and Administration, Division of TennCare (“TennCare”) to administer dental benefit plans covering the provision of services to individuals eligible to receive covered services under a TennCare Dental Benefits Management (“TBM”) Program; and,
WHEREAS, the Metropolitan Government, acting by and through the Metropolitan Board of Health, and Renaissance desire to enter into this provider participation agreement for the Metropolitan Public Health Department to participate in provider networks and receive payments for dental services provided to individuals eligible to receive covered services under a TBM program; and,
WHEREAS, Metropolitan Charter Section 10.104 provides that the Board of Health has the duty to contract for such services as will further the program and policies of the board, subject to confirmation by Resolution of Council; and,
WHEREAS, it is to the benefit of the citizens of the Metropolitan Government of Nashville and Davidson County that this provider participation agreement be approved.
NOW THEREFORE, BE IT RESOLVED BY THE COUNCIL OF THE METROPOLITAN GOVERNMENT OF NASHVILLE AND DAVIDSON COUNTY:
Section 1. That the provider participation agreement between Renaissance and the Metropolitan Government of Nashville and Davidson County, acting by and through the Metropolitan Board of Health, to participate in provider networks and receive payment for services provided to individuals enrolled in a TBM Program, a copy of which is attached hereto and incorporated herein, is hereby approved.
Section 2. That this Resolution shall take effect from and after its adoption, the welfare of the Metropolitan Government of Nashville and Davidson County requiring it.
Agenda Analysis
Analysis
This resolution approves a provider participation agreement between the Metropolitan Board of Health and Renaissance Life and Health Insurance Company of America in order to receive payment for services provided to individuals enrolled in a TennCare Dental Benefits Management (“TBM”) Program.
The Metropolitan Public Health Department provides dental services, and the Renaissance Life and Health Insurance administers the dental plan for individuals enrolled in a TBM Program. This provider participation agreement will give dentists working for the Metropolitan Public Health Department to be listed in the provider directory and to accept TennCare insurance for services covered by a TBM program.