Policies
- HIP 06-001 (pdf, 75kb) Confidentiality of Enrollee Information
- HIP 06-004 (pdf, 213kb) Employee Sanctions HIPAA Violations
- HIP 06-007 (pdf, 135kb) Use and Disclosure of Enrollee PHI
- HIP 06-008 (pdf, 162kb) Accounting of Disclosures
- HIP 06-009 (pdf, 93kb) Enrollee Access to PHI
- HIP 06-011 (pdf, 99kb) Public Records Requests (Media)
- HIP 06-012 (pdf, 65kb) Public Records Requests (Non-Media)
- HIP 06-014 (pdf, 135kb) De-identification of Enrollee Records
- HIP 06-016 (pdf, 122kb) Request to Amend Enrollee Records
- HIP 06-017 (pdf, 210kb) Complaints for HIPAA Violations
- HIP 06-018 (pdf, 142kb) Use of Enrollee Records in Research
- HIP 06-019 (pdf, 69kb) Release of Enrollee Records by Court Authorized Requests
- HIP 06-021 (pdf, 81kb) Use and Disclosure of PHI for Law Enforcement Purposes
- HIP 06-025 (pdf, 91kb) Enrollee Request to Restrict Access to PHI
Forms
English
- Opt Out Request (pdf, 49kb)
- Permission to Release record (pdf, 68kb)
- PHI/PII Loss Worksheet (pdf, 68kb)
- Request to Amend (pdf, 54kb)
Espanol
- Petición de rechazo (pdf, 55kb)
- Permiso para divulgar Información Médica Amparada (IMA) (pdf, 79kb)
- Petición para enmendar expedientes médicos (pdf, 66kb)
Agreements
The below agreements are subject to change and users should contact TennCare for questions regarding revised versions.
- TennCare Trading Partner Agreement (Legal terms, EDI Form, Security Form) (pdf, 138kb)
- Business Associate Agreement (pdf, 76kb)
