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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.

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.

Nursing Facilities and Redetermination

For information regarding redetermination please visit the Long-Term Services & Supports Redetermination page.

Hospital Presumptive Eligibility

TennCare is implementing a Hospital Presumptive (PE) program effective July 1, 2016. Using the Hospital PE process, participating hospitals can screen and provide immediate coverage to qualified individuals -- and help these patients complete the regular TennCare application process. See the following for additional information:

Provider News & Notices

Keep up-to-date with the latest provider news and information from TennCare! Subscribe to this free service.

340B Covered Entities Carved-In for TennCare

Two Webinars were hosted by Myers and Stauffer on TennCare’s behalf on Thursday, March 18, 2021 announcing new claims submission rules for medical and pharmacy covered entities.