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Managed Care Eligibility

Clinically Related Group and Target Population Group Assessments

TennCare Partners Monitoring and Evaluation Reports

Ombudsman

Centers of Excellence

Managed Care Standards for the Delivery of Behavioral Health Services Manual (June 2006)

Telemedicine Guidelines

Manual for Mental Health Coverage to
Uninsured Tennesseans

Crisis Response Training Manual
for Crisis Services Providers
For Answers to Post Test,
Contact Trish Wilson
at (615) 532-9156
or Email
Trish.Wilson@state.tn.us

Clinically Related Group / Targeted Population (CRG/TPG) Group Assessments Manual

Funding for CSUs

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Departmental Offices

 

Office of Managed Care

Overview

The Office of Managed Care provides oversight, monitoring, and
evaluation of the Behavioral Health Organizations who contract to
provide services for the TennCare Partners Program. The TennCare
Partners Program began in 1996 as a compliment to Tennessee’s
Health Care Reform initiative known as TennCare. TennCare Partners
provides behavioral health services to all persons eligible for TennCare
as well as certain people with serious mental illness or emotional
disturbances. These services include treatment for both mental health and
substance abuse disorders, for anyone on TennCare who has need of them.

People in the program receive an array of services including inpatient
hospitalization, outpatient services, residential treatment, substance abuse
services, and community support and rehabilitation services. These services
are provided through a specialized Managed Care Company referred to as a Behavioral Health Organization (BHO). These organizations contract with a
network of hospital, doctors, therapists, social workers, clinics, and other
specialty providers to deliver medically necessary treatment.

BHO Contact Info:

Premier
222 Second Avenue North, Suite 220
Nashville, Tennessee 37201
1-800-325-7864

Tennessee Behavioral Health
222 Second Avenue North, Suite 220
Nashville, Tennessee 37201
1-800-447-7242

BHO Information Website

 

Helpful Links

TennCare Bureau Reports

Department of Human Services - Local Office Locator

TennCare Partners Advocacy Line

Department of Commerce and Insurance - TennCare Division

Mental Health's Alcohol and Drug Abuse Services Division

Tenn. Commission on Aging

Tenn. Commission on Children and Youth