TennCare Contracts
Edison Contract # | Contractor Name | Contract Service Description |
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VeriFide Primary Source Verification (PSV) <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Deliotte75715.pdf" target="_blank">Deloitte Transactions and Business Analytics LLP</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TNCSA73958.pdf" target="_blank">Tennessee Community Services Agency</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Depthealth83433.pdf" target="_blank">Department of Mental Health and Substance Abuse Services</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/MyersStauffer81047.pdf" target="_blank">Myers and Stauffer, LC</a> Immunization Data Implementation of the Rural Health Care Pathway Programs <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Tndeptlaborandwfdvlpmt83545.pdf" target="_blank">TN Department of Labor and Workforce Development</a> Women's Health and Infant Mortality Reduction Initiatives <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/SCTDD78338.pdf" target="_blank">South Central Tennessee Development District</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TennesseeEmergencyManagementAgency84927.pdf" target="_blank">Tennessee Emergency Management Agency</a> Statewide Outreach Services for TennCare Applicants and Enrollees TennCare Eligibility Data Access through the TennCare database <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/UTHSC77988.pdf" target="_blank">University of Tennessee Health Science Center</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/AmerigroupTN78842.pdf" target="_blank">Wellpoint Tennessee, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/FamilyChildrensService72871.pdf" target="_blank">Family and Children’s Service</a> Coordination of Emergency Ambulance Associations Throughout Tennessee <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Tnhighereducationcommission83133.pdf" target="_blank">Tennessee Higher Education Commission</a> Scanning, Electronic Discovery Processing and Other Litigation Support Services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Optum3186500600.pdf" target="_blank">Optum Rx, Inc.</a> Medical Appeals Audit and Rate Setting Services for the Tennessee Medicaid Title XIX and TennCare Waiver Programs Pre-Admission Screening and Resident Review (PASRR) processes, and 2) training and technical assistance for the Department of Intellectual and Developmental Disabilities (DIDO) and Tenn Care Managed Care Organizations (MCOs) in the Employment and Community First (ECF) CHOICES program Implementation of the Rural Health Care Apprenticeship Programs High Risk Perinatal Program UTHSC Consortium - Tennessee Population Health Data Network (“TN-POPnet”) <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/SecHHS81763FY25.pdf" target="_blank">Secretary of Health and Human Services</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Deloitteconsultingllp82667.pdf" target="_blank">Deloitte Consulting LLP</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DHS71397.pdf" target="_blank">Department of Human Services</a> TennCare Eligibility Determination Services Controlled Substance Monitoring Database Information Exchange <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DeptHealth69897.pdf" target="_blank">Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/GNRC78335.pdf" target="_blank">Greater Nashville Regional Council</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/NationalAlliance79227.pdf" target="_blank">National Alliance for Direct Support Professionals</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DA82125CourtReporterFY25.pdf" target="_blank">Delegated Authority</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Equifax76965.pdf" target="_blank">Equifax Workforce SoIutions LLC</a> NV-79587 <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/UTHRP70992.pdf" target="_blank">University of Tennessee</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/SecHHSF81762FY25.pdf" target="_blank">Secretary of Health and Human Services</a> Community Health Worker Infrastructure Investment and Related Technical Assistance <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TASA69580.pdf" target="_blank">Tennessee Ambulance Service Association (TASA)</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Health69932.pdf" target="_blank">Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Erlanger80844.pdf" target="_blank">Erlanger Health, Inc.</a> Pharmacy Actual Acquisition Cost (AAC) Program <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/SWTDD78341.pdf" target="_blank">Southwest Tennessee Development District</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/OregonMEDDERP74450.pdf" target="_blank">Oregon Health & Science University Center for Evidence-Based Policy</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/ConsumerDirect77998.pdf" target="_blank">Consumer Direct for Tennessee, LLC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVRidgeview71001.pdf" target="_blank">Ridgeview Psychiatric Hospital and Center, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/AgingComm78337.pdf" target="_blank">Aging Commission of the Mid-South</a> System Transformation Functions in Relation to the Money Follows the Person (MFP) Demonstration Employment Services for persons enrolled in Employment and Community First (ECF) CHOICES, and the Katie Beckett Program (Katie Beckett) <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/PublicPartnership80345.pdf" target="_blank">Public Partnership, LLC</a> Member Services Contact Center Services - TennCare Connect Technical Advisory Services for Medicaid Modernization Program (MMP) Maintenance and Operation of HCFA Provider Registration Portal IBM75191 Web-Based Audio Teleconferencing Service <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/VanderbiltHRP71331.pdf" target="_blank">Vanderbilt University Medical Center</a> Eligibility <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVTrinity70952.pdf" target="_blank">Trinity Healthcare Resources, LLC</a> NV-70633 Pharmacy Internship Affiliate Agreement <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DIDD76287.pdf" target="_blank">Department of Intellectual and Developmental Disabilities</a> External Quality Review for MCOs, DBM and CoverKids <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Volunteerstatehealthplanbluecare.pdf" target="_blank">Volunteer State Health Plan d/b/a BlueCare</a> NV-48027 <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/InspiraEnterpriseInc86067.pdf" target="_blank">Inspira Enterprise, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Deloitte72610.pdf" target="_blank">Deloitte Consulting LLP</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TNAAP74422.pdf" target="_blank">Tennessee Chapter of the American Academy of Pediatrics</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Consilio85808.pdf" target="_blank">Consilio LLC</a> Survey & Certification of Title XIX Facilities <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Stellar69118.pdf" target="_blank">Stellar Pharmacy Services, Inc</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/GainwellTechnologies84046.pdf" target="_blank">Gainwell Technologies, LLC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/HealthServicesAdvisoryGroup81268.pdf" target="_blank">Health Services Advisory Group, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/SETDD78339.pdf" target="_blank">Southeast Tennessee Development District</a> FY2025 Legal Proceedings Support <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/KEPRO74757.pdf" target="_blank">Keystone Peer Review Organization, LLC</a> MMIS – Program Integrity NV2-44806 <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/SecHHS85811.pdf" target="_blank">Secretary of Health and Human Services</a> Performing and Supporting Eligibility Determination Admission, Discharge, and Transfer Data Feeds for Hospitals <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/BlueCareTennessee.pdf" target="_blank">Volunteer State Health Plan, Inc. d/b/a BlueCare Tennessee</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Alexian73709.pdf" target="_blank">Alexian Brothers Community Services</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/HealthFacilities78584.pdf" target="_blank">Health Facilities Commission</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/IBM75191.pdf" target="_blank">International Business Machines Corporation (IBM)</a> Voluntary Long Acting Reversible Contraceptives Same Visit Access Program (LARC) Psychiatric Hospital Grants <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/United78844.pdf" target="_blank">United HealthCare Plan of the River Valley, Inc.</a> Managed Care Pharmacy Practice Experience Program Program of All-Inclusive Care for the Elderly (PACE) Management of Unclaimed Property Account(s) Closed Loop Referral System <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/VanderbiltUMC85865.pdf" target="_blank">Vanderbilt University Medical Center</a> Court Reporting Services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Nationalcommitteeforqualityassurance81881.pdf" target="_blank">National Committee for Quality Assurance (NCQA)</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVGovernmentData70703.pdf" target="_blank">Government Data Services, LLC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/VSHP78843.pdf" target="_blank">Volunteer State Health Plan, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/ETHRA78332.pdf" target="_blank">East Tennessee Human Resource Agency</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Departmentofhumanresources84341.pdf" target="_blank">Department of Human Resources</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DIDD77618.pdf" target="_blank">Department of Disability and Aging (DDA)</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVMagneticInk70701.pdf" target="_blank">Magnetic Ink, LLC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/NWTDD78334.pdf" target="_blank">Northwest Tennessee Development District</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/NTTData68985.pdf" target="_blank">NTT DATA State Health Consulting, LLC</a> Behavioral Health Infrastructure Investment High Risk Perinatal Program <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/ArcTN78501.pdf" target="_blank">The Arc of Tennessee</a> Cloud-Based MasterData Management (MDM) Data Ecosystem Call Center for TennCare Member Medical Appeals <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DeptHealth64722.pdf" target="_blank">Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Health69874.pdf" target="_blank">Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/MyersStauffer77591.pdf" target="_blank">Myers and Stauffer LC</a> E-Badge Credentialing Program <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/SecHHS85810.pdf" target="_blank">Secretary of Health and Human Services</a> Recruitment and Retention Program Legal Proceedings Support Immunization Data from TDH’s Tennessee Immunization Information System (TennIIS) <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/NTTDATA77305.pdf" target="_blank">NTT DATA State Health Consulting, LLC</a> Provision of Clearinghouse Database through Department of Human Services Pre-Admission Screening and Resident Review (PASRR) Evaluation Services Medicaid Management Information System (MMIS) Business Support Services TennCare Dental Benefit Management (DBM) Programs Oral Disease Services for School Children in Grades Pre-K-8 <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Ballad80843.pdf" target="_blank">Ballad Health</a> Systems Integration Services Support for Eligibility Modernization Project (EMP) Integration Services Pharmacy Practice Experience for Pharmacy Students <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/QBlue79735.pdf" target="_blank">QBlue Surveys, Inc.</a> NV-57865 <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/C2T.pdf" target="_blank">C2T, Inc. dba Clear2there </a> I/DD MLTSS Program Operations & Quality Monitoring Provision of TennCare Eligibility Information through the TennCare Database <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/PCG86109.pdf" target="_blank">Public Consulting Group LLC</a> Cloud-Based Decision Support System (DSS) for the Data Ecosystem Solution <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Guidehouse80990.pdf" target="_blank">Guidehouse, Inc.</a> Information Technology (IT) Audit Management Third-Party Liability Services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Health77362.pdf" target="_blank">Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DeptHealth78138.pdf" target="_blank">Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Harmony78732.pdf" target="_blank">Harmony Health Plan, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Mercer76738.pdf" target="_blank">Mercer Health and Benefits LLC</a> Managed Security Operation Services FY2025 Federal Agreement – Services Related to Section 1634 of the Social Security Act <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVExperian70996.pdf" target="_blank">Experian Health, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Recondo79324.pdf" target="_blank">Waystar, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Vanderbiltumc82443.pdf" target="_blank">Vanderbilt University Medical Center by and through its Department of Health Policy</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVPCG71343.pdf" target="_blank">Public Consulting Group, LLC</a> Administrative functions and services related to the Katie Beckett Program (Katie Beckett) Financial and Compliance Oversight of TennCare HMOs, PLHSOs, and Third-Party Administrators Special Needs Plan (SNP) for Medicare/Medicaid Dual Eligible Enrollees Quality Assurance Function for Medical Care within the State of TN Strategic Management Office (SPMO) Services for Medicaid Modernization Program (MMP) <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DIDD68709.pdf" target="_blank">Department of Disability and Aging (DDA)</a> Substance Use Disorder Treatment & Community Mental Health Center Workforce Development <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Dcs83491.pdf" target="_blank">Department of Children’s Services and Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/CAQH73129.pdf" target="_blank">Council for Affordable Quality Healthcare, Inc. (CAQH)</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/FirstTNDevDist78333.pdf" target="_blank">First Tennessee Development District</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Maximus83218.pdf" target="_blank">Maximus US Services, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/MethodistLeBonheur80845.pdf" target="_blank">Methodist LeBonheur Community Outreach</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/UTPharmacy74678.pdf" target="_blank">University of Tennessee, College of Pharmacy</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/UCDD78347.pdf" target="_blank">Upper Cumberland Development District</a> FY2025 Court Reporting Services Medicaid Management Information Systems (MMIS) <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DGACHW77667.pdf" target="_blank">Delegated Grant Authority</a> NV-68053 Pharmacy Benefits Management (PBM) Services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVTransUnion71009.pdf" target="_blank">FinThrive Healthcare, Inc. (MEDDATA)</a> NV2-64694 eDiscovery and Litigation Support Services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVMoss%20Adams70721.pdf" target="_blank">Moss Adams LLP</a> Data Sharing and Technical Support on Status of Inmates of Local Jail and Non-State Correctional Facilities <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DGAPsychiatricHospitals84208.pdf" target="_blank">Delegated Grant Authority</a> Implementation of the Rural Health Care Initiatives <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/MaximusHumanServices.pdf" target="_blank">Maximus Human Services, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TDCI78369.pdf" target="_blank">Department of Commerce and Insurance</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVTransUnionEscan71010.pdf" target="_blank">FinThrive Healthcare, Inc. (ESCAN)</a> Social Service Employment and Income Verification Services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Deloitte.pdf" target="_blank">Deloitte Consulting, LLP </a> Consulting Services for Special Needs Plans (SNP) for Medicare/Medicaid Dual Eligible Enrollees <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DeptHumanServices84830.pdf" target="_blank">Department of Human Services</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/UnitedHealthcareCommunityPlan.pdf" target="_blank">UnitedHealthcare Community Plan</a> Provision of specified functions as the Single Point of Entry (SPOE) to Medicaid-reimbursed long-term services supports (LTSS) for persons who are elderly and adults age twenty-one (21) and older with a physical disability <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Cariten78841.pdf" target="_blank">Cariten Health Plan, Inc.</a> Reimbursement Rate Structure for Nursing Facilities in Tennessee Estate Recovery Services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DOHTBD.pdf" target="_blank">Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DA82126LegalSupportFY25.pdf" target="_blank">Delegated Authority</a> Decision-Making Support System Transformation Initiative (DMS STI) <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Health78212.pdf" target="_blank">Department of Health</a> MMIS Core Encounter Processing (EP) Module Prepaid Inpatient Health Plan (PIHP) services Medicaid Evidence-Based Decisions (MED) Project and Drug Effectiveness Review Project (DERP) services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/PublicConsultingAVS486.pdf" target="_blank">Public Consulting Group, LLC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/IBM75309.pdf" target="_blank">International Business Machines Corporation (IBM)</a> Audit Services for the TennCare Pharmacy Program’s Pharmacy Benefit Manager (PBM) Satisfaction and Culture Change/Quality of Life Survey Administration Services National Core Indicator Surveys Administration of Title XIX Health Related Services Helene Emergency Assistance Loans (HEAL) Program TBD Statewide TennCare Managed Care Services (MCO) LTSS Satisfaction and Culture Surveys <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RevintSolutions68201.pdf" target="_blank">Revint Solutions</a> Partner and Consult with TennCare in conducting a Customized Leadership Academy <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/NRCHealth901.pdf" target="_blank">National Research Corporation dba NRC Health</a> TennCare Health Benefit Programs (TennCare DBM Programs) TennCare Eligibility Data Access through the TennCare Database Cloud-Based Data Ecosystem Enterprise Data Warehouse <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Gainwell12056.pdf" target="_blank">Gainwell Technologies, LLC</a> Hosting of the Workforce Development/Training Curriculum Program and Providing Access to Program for Identified Learners <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Utsurveyservices82986.pdf" target="_blank">University of Tennessee</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/VUMC80847.pdf" target="_blank">Vanderbilt University Medical Center</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/ErlangerHRPNV70633.pdf" target="_blank">Erlanger Health</a> TennCare Eligibility Information Data Access <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TNCHWA79611.pdf" target="_blank">Tennessee Community Health Worker Association</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DisabilityRights80822.pdf" target="_blank">Disability Rights Tennessee</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/MentalHealth70911.pdf" target="_blank">Department of Mental Health and Substance Abuse Services</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/IBM75187.pdf" target="_blank">International Business Machines Corporation (IBM)</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/WellPointTennessee.pdf" target="_blank">Wellpoint Tennessee, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/ETCH80846.pdf" target="_blank">East Tennessee Children's Hospital Association, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Depthealth83447.pdf" target="_blank">Department of Health</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/MyersStauffer71431.pdf" target="_blank">Myers and Stauffer LC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/OfficeAlly81553.pdf" target="_blank">Office Ally, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Belmont72795.pdf" target="_blank">Belmont University College of Pharmacy and Health Sciences</a> Member Enrollment (ME) Mo dule, and Financial Management (FM) Module <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/PublicConsultingGroupSPMO.pdf" target="_blank">Public Consulting Group, Inc. </a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/MountainStates70931.pdf" target="_blank">Mountain States Health Alliance d/b/a Johnson City Medical Center</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Labor66314.pdf" target="_blank">Department of Labor and Workforce Development</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DA86380LegalFY26.pdf" target="_blank">Delegated Authority</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/UTHSC77544.pdf" target="_blank">University of Tennessee Health Science Center</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Appriss68053.pdf" target="_blank">Appriss Insights, LLC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TENNREGENTS77479.pdf" target="_blank">Tennessee Board of Regents</a> Early Periodic Screening, Diagnostic and Treatment (EPSDT) Liaison Services and Support to Primary Care Practices for Increasing Immunization Rates <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/IBM75310.pdf" target="_blank">International Business Machines Corporation (IBM)</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TCWDRuralHealth69740.pdf" target="_blank">Tennessee Rural Health Recruitment and Retention Center dba Tennessee Center for Health Workforce Development (TCWD)</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/THA77170.pdf" target="_blank">Tennessee Hospital Association</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/AuntBertha80732.pdf" target="_blank">Aunt Bertha, A Public Benefit Corporation d.b.a findhelp</a> Fiscal Employer Agent Services <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/CareStar80953.pdf" target="_blank">CareStar, Inc.</a> FY2026 Federal Agreement – Services Related to Section 1634 of the Social Security Act <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RenaissanceLifeHealthInsuranceCompany84153.pdf" target="_blank">Renaissance Life & Health Insurance Company of America</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/EInsightsLLC86819.pdf" target="_blank">EInsights LLC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/KPMG.pdf" target="_blank">KPMG, LLP </a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/TNCSA66821.pdf" target="_blank">Tennessee Community Services Agency</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DIDD71280.pdf" target="_blank">Department of Disability and Aging</a> Beneficiary Support System Functions for MLTSS Grievances and Appeals NV3-12056 Federal Agreement – Payment of Medical insurance Program Premiums (Section 1843 of the Social Security Act) <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/UniversityHealthSystem70710.pdf" target="_blank">University Health System, Inc. d/b/a University of Tennessee Memorial Hospital</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/AutomatedHealth69304.pdf" target="_blank">Automated Health Systems, Inc.</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/USDepartmentHealthHumanServices85166.pdf" target="_blank">The U.S. Department of Health and Human Services Centers f or Medicare and Medicaid
Services (CMS)</a> Cloud-Based Data Ecosystem Data Quality (DQ)/Extract-Transform-Load (ETL) Pipeline <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/KePRO70972.pdf" target="_blank">Keystone Peer Review Organization, LLC</a> Actuarial Services NCQA Reviews and Custom Reporting Maternal Opioid Misuse (MOM) Model <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DentaQuest59802.pdf" target="_blank">DentaQuest USA Insurance Company, Inc.</a> Asset Verification System (AVS) - The Contractor shall provide an Asset Verification System to meet the requirements of 42 U.S.C.A. § 1396w, all applicable state and federal laws, and Attachment C to this Contract. The AVS shall have the ability to electronically forward a request for asset information for individuals applying and/or receiving TennCare Medicaid. <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Comptroller66307.pdf" target="_blank">Comptroller of the Treasury</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/DA86378CourtReproterFY26.pdf" target="_blank">Delegated Authority</a> Support to AccessTN Members in Health Insurance Enrollment and Services Access Call Center for TennCare Providers and Enrollees TennCare Services and Coordination, Including EPSDT and CHANT <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Benefitrecovery77202.pdf" target="_blank">Benefit Recovery</a> FY2025 Federal Agreement – Payment of Medical Insurance Program Premiums (Section 1843 of the Social Security Act) Development of Statewide and TennCare Community Health Worker (CHW) Program Standards and Accreditation Process <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Consilio64694.pdf" target="_blank">Consilio, LLC</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/Altarum77090.pdf" target="_blank">Altarum Institute</a> Satisfaction Survey Services Asset Verification System (AVS) Receipt of vital records death and birth data files from TDH’s Vital Statistics Office <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/HealthSpring78840.pdf" target="_blank">HealthSpring Life & Health Insurance Company</a> <a href="https://www.tn.gov/content/dam/tn/tenncare/documents2/RVElevateNV79587.pdf" target="_blank">Elevate Patient Financial Solutions LLC</a>