BlueCare and TennCareSelect
Includes documents and forms for Tenncare members(BlueCare℠ and TennCareSelect including CHOICES)
Authorization and Request Forms
Use these forms to make changes to or request your health information. You can also file a privacy complaint.
- Authorized Support Form
- General HIPAA Authorization Form
- Request Personal Representative Form
- Confidential Communication Request
- Documentation of Privacy Complaint
- Member Address Change Form
- Primary Care Physician Change Request
- Request for Limited Use and Disclosure of My Health Records
- Request for a List of Disclosures of My Health Information
- Revocation of Authorization to Disclose Health Information
- Request to Change My Health Records
- Request to Look at My Health Records
Member Handbooks
For more details about your plan, see your BlueCare or TennCareSelect handbook. You can read about your benefits, network and coverage.
Member Resources
There may be a time when you can no longer care for yourself. Use these forms to provide direction on your treatment.
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Newsletters
Read our latest newsletters. They’re full of helpful information about health and wellness and your benefits.
Take Care of You
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Bolentines en español
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Take Care of You in Arabic
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