Providers
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 Medicare Cross-Over Claim questions, contact TennCare Provider Services at 1-800-852-2683.
Provider Links
Provider News & Notices
- TennCare Providers now have an RSS feed
- Prescriber Notifications (Prior to October 1, 2008)
- Notices after October 1, 2008 can be found on the SXC/TennCare website
- Important Information for Physicians Concerning TennCare Changes in Coverage of Private Duty Nursing and Home Health (pdf, 34kb)
- Provider RA Message: Changes have been made to TennCare’s payment methodology (pdf, 29kb) for professional Part B crossover claims. This change is effective with dates of service beginning July 1, 2008.
In addition, on July 1, 2008 a member must be QMB, SSI, or under age 21 for TennCare to pay the copays after Medicare for non-covered TennCare services. View the list of Medicare Services Not Covered by TennCare for Adults age 21 and over (pdf, 53kb), pursuant to TennCare Rule 1200-13-13-.10 (pdf, 283kb) and 1200-13-14-.10 (pdf, 310kb).
The non-covered services list for other claims is much more extensive and can be found in TennCare rules at 1200-13-13-.10 (pdf, 283kb). - Provider Bulletin (pdf, 35kb)
- External Quality Review Organization to Validate Provider Data 10/24/08 (pdf, 29kb)
- Tamper-Resistant Prescription Pads Notification (pdf, 53kb)
Keep up-to-date with the latest provider news and information from TennCare! Subscribe to this free service.
Provider Training (pdf, 139kb)
