Behavioral Health Resources and Information for Providers

Effective January 1, 2015, BlueCare Tennessee assumed responsibility for behavioral health contracting and credentialing for the BlueCare, TennCareSelect, CoverKids, and BlueCare Plus (HMO SNP) SM networks. The intent is to be contracted with providers directly under the same terms and rates that existed with Value Options, Inc.

Please also keep in mind:
January 1, 2015 – Earliest network effective date. Providers, from whom a contract was not received, began receiving reimbursement at out-of-network rates.
New Guidelines: MCG Guidelines (formerly, Milliman Care Guidelines) went into effect Jan. 1, 2015.

Screening Tools

Substance Abuse: Trauma / PTSDT / Child Abuse / ACE:

Pain Management

Treatment Locators

Resource Information for Patients

To arrange behavioral health or substance abuse services

Call the appropriate line below:

  • BlueCare Provider Service at 1-800-468-9736 for BlueCare members
  • TennCareSelect Provider Service at 1-800-276-1978 for TennCareSelect members
  • BlueCare Plus Provider Service at 1-800-299-1407
  • CHOICES Provider Service at 1-800-782-2433
  • SelectCommunity Provider Service at 1-800-292-8196
  • CoverKids Provider Service at 1-800-924-7141
  • Local Behavioral Health Network Service Managers:

Request authorization for services

Contact Utilization Management Monday ‐ Friday, 8 a.m. to 6 p.m. (ET) at:

  • BlueCare 1‐888‐423‐0131
  • BlueCare UM Fax 1‐800‐292‐5311
  • Cover Kids 1‐800‐924‐7141
  • Cover Kids UM Fax 1‐800‐851‐2491
  • BlueCare Plus 1‐866‐789‐6314
  • BlueCare Plus UM Fax 1‐866‐325‐6698

Dedicated Primary Care Provider consultation and referral line

  • Call 1-800-367-3403
  • Staffed by Board Certified Psychiatrists
  • Consult on all aspects of mental health and substance abuse treatment, including medications
  • Available Monday ‐ Friday, 9 a.m. ‐ 5 p.m. (ET)
  • Identify yourself as a TennCare primary care provider seeking a referral or psychiatric consultation services

Forms and Tools / for Providers

For behavioral health administration forms, refer to the following page in the Provider section of this website:
Provider Education and Resources / Forms

For helpful tools and other resources, refer to the following page in the Provider section of this website:
Provider Education and Resources / Training and Tools

Neonatal Abstinence Syndrome (NAS) Initiatives

NAS may be a tough subject for parents, so the NICU works with the Children's Hospital Social Work Department if needed. Intervention begins with Silver Linings at East Tennessee Children’s’ Hospital (ETCH).

The MIST (Mothers & Infants Staying Sober) team consists of a case manager, a counselor and a program manager who work together to support and care for families struggling with substance abuse.
MIST Program

Web Authorizations

BlueCare Tennessee Web Authorizations are accessed through your BlueAccess account which:

  • Moves through the appropriate MCG Guidelines (formerly, Milliman Care Guidelines) or other Medically Necessary Criteria for selected level of care
  • Offers greater flexibility and ease in submitting documentation

For help registering with BlueAccess, see:
Register with BlueAccess

Web Authorization Contacts:

Message Lines (non-technical authorization issues)

BlueCare / TennCareSelect423-535-4968

CoverTennessee 800-924-7141

BlueCare Plus 866-789-6314

eBusiness Service Center
(technical authorization or BlueAccess issue)
423-535-5717 Option 2

eBusiness Marketing

West TN: Debbie Angner
Debbie_Angner@bcbst.com
901-544-2285

Middle TN: Faye Mangold
Faye_Mangold@bcbst.com
423-535-2750

East TN: Faith Daniel
Faith_Daniel@bcbst.com
423-535-6796

Council for Affordable Quality Healthcare starting (CAQH)

The CAQH Universal Provider Datasource (UPD) is the industry standard for collecting provider data required by health plans, hospitals and other managed care organizations for credentialing, claims processing, quality assurance, emergency response, member services, and more. UPD enables physicians and other health professionals in all 50 states and the District of Columbia to submit their information free of charge into a secure, centralized database through an interview-style online process.

Large provider groups received the following letter in December, 2014 informing them BCBST will require new credentialing applications for practitioners to be submitted through the CAQH beginning 1/1/15. Provider_Notification_120314_CAQH_Crendentialing

A quick reference guide is available on the CAQH website: http://www.caqh.org/pdf/UPDbrochure.pdf.

Facilities are not eligible for credentialing through CAQH at this time. Provider Groups or Practitioners with questions may contact their local Provider Relations Consultant (PRC) or the regional number below to be referred to their PRC.

  • East Tennessee (Johnson City/Knoxville) (865) 588-4640
  • West/Middle Tennessee (Nashville/Memphis/Jackson) (615) 386-8630
  • Chattanooga (423) 535-6307