TennCare Provider Resource Board

Your Central Hub for Provider News, Resources, and Announcements

Announcements for Providers

Reminder to All Providers: Keep Your NPI Information Updated!

To ensure accurate records and prevent delays in claims processing, please remember to keep your NPPES National Provider Identifier (NPI) information up to date after enumeration.
Updates may include changes to:

  • Practice location
  • Mailing address
  • Contact information
  • Taxonomy or specialty
  • Organization affiliations

You can review and update your information anytime on NPPES website

Keeping your NPI profile current helps maintain compliance and ensures smooth communication and billing processes.

Thank you for your attention to this important requirement! 

ASD Identification & Diagnosis Training for Pediatric Primary Care Provider

The Tennessee Child and Adolescent Psychiatry Education and Support (TCAPES) Program at the Tennessee Department of Health, in collaboration with the Vanderbilt Kennedy Center’s Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), is offering a free, in-person comprehensive training on the identification and diagnosis of Autism Spectrum Disorder (ASD) for pediatric primary care providers.

What’s included?

  • Expert-led training on ASD diagnosis and best practices
  • A post-workshop Community of Practice for ongoing learning and peer connection
  • Dedicated office hours for personalized guidance and technical assistance
  • STAT kits provided at no cost to participants
  • CME credits available upon completion

Training Details:

Registration is required!
Friday, July 10, 2026
8:00 a.m. – 4:00 p.m. ET

East Regional Health Office
2101 Medical Center Way
Knoxville, TN 37922

Lunch will be provided at no cost to participants.

Other Provider Announcements

SafeGuard Services (SGS), working on behalf of the Centers for Medicare & Medicaid Services (CMS) as the Southeastern Unified Program Integrity Contractor (SE UPIC), will soon begin Medicaid audits of TennCare's Managed Care Plans (MCPs), BlueCare, United Health and Wellpoint. These audits align with federal recommendations to enhance oversight, strengthen program integrity, and ensure the appropriate use of Medicaid funds.

During the audit, SGS will request medical records from network providers for a group of recipients selected through a statistically valid random sampling methodology. Providers are expected to submit all requested documentation promptly, accurately, and in full to support the review process.

Any questions should be directed to the contact information provided in the medical records request you receive from SGS. 

Information regarding the HCBS Capacity Building Funding Opportunity is now available on the TennCare website. Providers are encouraged to check the site regularly for updates and new information.

As an example, Year 1 (Y1) funding awards have recently been posted.

More information can be found on the System Transformation page.

TennCare has created a dedicated resource page to help providers ensure their contact email information is always current and ensure the correct email addresses are being used for TennCare enrollment communications.

All providers are required to review TennCare’s Provider Contact Information Requirements page. This page outlines simple steps you must take to ensure you never miss critical communication such as enrollment notices, revalidation reminders, training opportunities, and system updates.

This page provides clear instructions on keeping your email information up to date so that providers and their staff don’t miss important provider information requests or updates. All TennCare providers are expected to include this information and any resources on the TennCare website, in all onboarding materials to help providers and credentialing staff keep your TennCare Medicaid ID accurate and active.

Tennessee Department of Health, Tobacco Use Prevention and Control Program is offering an exciting opportunity for providers across Tennessee to become certified Tobacco Treatment Specialists (TTS) through the Duke-UNC.

This program provides a blended learning format, combining self-paced online modules with live, interactive virtual sessions. Participants gain evidence-based instruction on tobacco treatment, counseling strategies, program development, and population-level tobacco control. The curriculum is accredited and meets the training requirements for national certification as a Tobacco Treatment Specialist.

Key highlights:

  • 30 Continuing Education (CE) hours available (AMA PRA Category 1, ANCC, ACPE, IACET)
  • Expert interdisciplinary faculty from Duke University, UNC Chapel Hill, and the NC Division of Public Health
  • Training cohorts available Summer 2026, Fall 2026, and Spring 2027
    • The registration survey for Summer 2026 closes on May 29.
  •  Full-ride scholarships are available exclusively for Tennessee residents currently working or preparing to work in tobacco prevention.

Education, Trainings and Town Halls

Training Videos

TennCare Provider First 100 Days Training

Provider Experience Town halls

TennCare Provider Services Town Hall 2025

TennCare Provider Services Dental Town Hall 2026

Health Plan and MCO Announcements

Review BlueCare Tennessee's BlueAlert Newsletter

Viewing our monthly newsletter is one of the best ways for BlueCare Tennessee network providers to stay up to date. Take a look at the May 2026 BlueAlert for these articles and much more:

  • Updates to the Durable Medical Equipment (DME) Network
  • Talking About Preeclampsia With Your Pregnant Patients
  • Caring for Children’s Mental Health 

New Dental Benefit - Renaissance

Annual Compliance, Cultural Competency and Fraud, Waste and Abuse Training

DUE Dec. 31, 2026

Keeping staff and patients safe is a top priority, and the Renaissance Compliance, Cultural Competency and Fraud, Waste and Abuse the trainings help ensure this by providing best practices for avoiding fraud, waste, and abuse at your practice.

All Renaissance participating staff and dentists must complete this training once each calendar year. Ensuring we comply with these standards allows us to operate better as a team and is mutually beneficial.

Follow the steps on the website to complete the annual training. Please note that your Renaissance participation agreement may be terminated if your business entity does not complete the required training.

United Healthcare - Quarterly HCPCS Codes Updates

All applicable UHCCP Medical Benefit Drug Policies have been updated to reflect the quarterly Healthcare Common Procedure Coding System (HCPCS) code additions and revisions. Be sure to take a look at our April Medical Policy Update Bulletin from April 2026 for details at the hyperlink below. Note: Refer to the Centers for Medicare & Medicaid Services: Healthcare Common Procedure Coding System (HCPCS) Quarterly Update for information on the code updates. (UHCCP TN Medical Policy Update Bulletin: April 2026)

Wellpoint Reminder for Provider Data Attestation

Wellpoint requires our providers to confirm their demographic information every 90 days. Keeping this information up to date helps members find care, ensures accurate claims, speeds up payment, and supports better health for everyone.