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Providers

Are you a provider who needs assistance with TennCare related matters?

If so, please contact Provider Services at the member's Managed Care Organization for MCO claims.

For general questions, eligibility verification or Medicare Cross-Over Claim questions, contact TennCare Provider Services at 1-800-852-2683.

Provider Links

  • Current P.O. Box List
  • Provider Educational Handouts
  • Dental Services
  • Provider Miscellaneous Forms
  • Electronic Data Interchange
  • Provider Registration
  • Managed Care Organizations
  • TennCare/Medicaid EHR Incentive Program
  • Medicare/Medicaid Crossover Claims
  • Verify Eligibility
  • Pharmacy
  • Web Functionality & Access
  • The Centers for Medicare & Medicaid Services (CMS) implemented the Payment Error Rate Measurement (PERM) program to measure improper payments in Medicaid. For more information on PERM please visit CMS PERM website for educational guides and question/answer section Payment Error Rate Measurement (PERM) and view the informational video PERM: Responding to Medical Records/Documentation Requests.

    Literacy in Health Care / Communicating with TennCare Enrollees / Cultural Competency / Disparities in Health Care


    Provider News & Notices

    • Increased Medicaid Payment for Primary Care. In accordance with Section 1202 of the Affordable Care Act, qualified Medicaid primary care providers practicing in family medicine, general internal medicine, pediatric medicine and related subspecialties who meet specified requirements will be eligible to receive enhanced reimbursement rates. This is effective for dates of service on and after January 1, 2013 through December 31, 2014. more...

    • Provider Contractual Requirement - EQRO Quarterly Survey Participation

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