Prepaid Limited Health Service Organization Application [pdf]

Third Party Administrator Application Packet [pdf]

Uniform Certificate of Authority Application

Applicants for a certificate of authority to operate as a TennCare health maintenance organization in Tennessee must submit all information required by Tennessee Code Annotated § 56-32-103(b).

Some files are Adobe Reader® Files [pdf], 6.0 or higher. You may need to DOWNLOAD a free copy of Adobe Reader® to view these files.