TennCare Provider News, Notices & Forms

TennCare providers can access forms and TennCare updates on this page including,

• 340B Cover Entities Carved-In for TennCare - 340B covered entities (CEs) are providers that participate in the 340B Drug Pricing Program and that fill enrollees' prescriptions with drugs purchased at prices authorized under Section 340B of the Public Health Service Act.
• Behavioral Health Crisis Prevention Intervention and Stabilization for Individuals with IDD (intellectual and developmental disabilities).
• CMS Accountable Health Communities Model - The Accountable Health Communities Model addressed a critical gap between clinical care and community services in the current health care delivery system by testing whether systematically identifying and addressing the health-related social needs of Medicare and Medicaid beneficiaries through screening, referral, and community navigation services will impact health care costs and reduce health care utilization.
• Primary Care Physician Enhanced Rates - qualified Primary Care Physicians as detailed by CMS regulation are to receive a rate increase referred to as the "PCP Bump".
• Provider Contractual Requirements.
• TennCare Responses to RFR Questions.
• Miscellaneous Provider Forms.
• Non-Emergency Medical Transportation Benefit (NEMT).