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TennCare's Opioid Strategy

TennCare has long worked to confront the impacts of opioid misuse and abuse.  Going forward, we plan to implement additional strategies as we recognize the growing complexity of this problem in our state. 

  • Reducing the risk of TennCare members becoming newly dependent or addicted to opioids;
  • Increasing patient engagement, early detection of dependence, and evidence-based pain treatment for TennCare members chronically using opioids;
  • Increase outreach to women of child bearing age chronically using opioids to provide education and treatment options;
  • Further remove barriers to access for Voluntary Reversible Long-Acting Contraceptive (IUD’s and implants) for women; and
  • Supporting high-quality addiction and recovery treatment services for TennCare members who are dependent, misusing, or abusing opioids and other substances. 

This page will include important documents and information regarding TennCare’s opioid strategy. 

 

TennCare Changes to the Coverage of Opioid Effective January 16, 2018:

Effective January 16, 2018, TennCare will implement an edit on agents in the Short-Acting and Long-Acting Narcotics classes of the Preferred Drug List (PDL) that will impact all first-time and non-chronic opioid users. 

TennCare Opioid Strategy Letter

Magellan Pharmacy Provider Notice

MCO Physician and Provider Notice

For more information regarding the benefit limit change, please visit Magallen’s website.  Magellan is TennCare’s pharmacy benefit manager and its website hosts a Frequently Asked Questions document, a MME Prior Authorization Form and other useful resources for providers. https://tenncare.magellanhealth.com/tenncare_portal/spring/main?execution=e1s1

 

Medication Assisted Treatment (MAT) Information

MAT Training Institute Save the Date

MAT Training Institute Registration 

Please join us in Nashville on Monday, September 24th for the 2018 Medication Assisted Treatment Training Institute. 

Buprenorphine MAT Program Description
*The Program Description content is the same for all MCOs.

BlueCare

Amerigroup

UnitedHealthcare

MAT Provider Interest Form

Please complete the form if you are interested in becoming a contracted MAT provider. Completion of the provider interest form does NOT guarantee contracting with the Managed Care Organizations.

Buprenorphine MAT Webinar Slides

[Webinar A] Buprenorphine MAT Webinar

[Webinar B] Buprenorphine MAT Webinar

MAT Program Contact Information