How to Become a DIDD Credentialed Provider

DIDD PROVIDER CREDENTIALING

DIDD and TennCare, along with MCOs, are continuing to work together in preparation for integration of the intellectual and developmental disabilities (I/DD) programs and the ultimate goal of a single, seamless, person-centered system of service delivery for people with I/DD which supports the person to increase their independence, fully participate in the communities, and achieve any competitive and integrated employment goals.

Effective immediately all applicants must submit a Provider Credentialing Application online with attachments (to include required licenses, registrations, and other documentation) in order to be reviewed and considered for credentialing through DIDD. This means all applicants, who have not yet obtained licensure or completed registration in the TennCare Provider Registration Portal, must do so prior to credentialing approval.

Provider Credentialing Application Forum Dates

• November 16, 2021 from 1:00pm to 3:00pm CST / 2:00pm to 4:00pm EST
  Meeting link: https://bit.ly/31PXcz3
  Meeting number (access code): 2319 895 0383
  Meeting password: DIDD
  Join by phone
  +1-415-655-0001
  Access code: 2319 895 0383
• December 7, 2021 2021 from 1:00pm to 3:00pm CST / 2:00pm to 4:00pm EST
  Join on your computer or mobile app
  Click here to join the meeting
  Or call in (audio only)
  +1 629-209-4396,,798231449#   United States, Nashville
  Phone Conference ID: 798 231 449#

The Provider Credentialing Applicant Forums are scheduled two(2) times within a quarter at the same time 1:00pm to 3:00pm CST / 2:00pm to 4:00pm EST.  

Please check back for future web invites for: February 1, 2022 , February 15, 2022, May 3, 2022 , May 17, 2022 , August 2, 2022 , August 16, 2022 , November 2, 2022 ,and November 15, 2022 .

How to Become a DIDD Credentialed Provider

• Presentation: How to become a DIDD Credentialed Provider

Application

• Provider Credentialing Application
  
  • Instructions
  • Attachment 1: Credentialing Standards
  • Attachment 2: Licensing Requirements
  • Attachment 3: Provider Credentialing Policy Req
  • 1915(c) Service Definitions & Implementation
  • Katie Beckett - Part B Service Definitions & Implementation

Additional Resources:

• Disclosure Form for Provider Person
• Disclosure Form for Provider Entities
• Substitute W9
• W-9 Form
• Submitting a National Criminal Background Check to DIDD
  • Frequently Asked Questions
  • Noncriminal Justice Applicant’s Privacy Rights
  • IdentoGO Tennessee Instructions
  • VECHS-Waiver Form
• DIDD Available Service Rates
• Katie Beckett Available Service Rates
• TN Non-Residential Self-Assessment
• TN Residential Provider Self-Assessment
• Title VI of the Civil Rights Act of 1964 Annual Training

Please submit a completed application and all attachment requirements to DIDDProvider.Application@tn.gov

If you have any questions, you may contact Linda Maurice at DIDDProvider.Application@tn.gov