Tools and Resources
Information to simplify working with us while caring for your patients.
General
- Care Management Contacts
- Provider FAQ – Amendment Nine Missed Visit Reporting Requirements
- BlueCare Provider FAQ for Members turning 21
- Medical Emergency Diagnosis Quick reference for patient emergencies
- Combining Well-Child and Sick Visits
- Medical Review & Appeal Requirements See our standards for medical necessity review and the appeals process
- Programs, Services and FAQs
- TennCare Kids Tool Kit
- BlueCare Tennessee and CoverKids Maternity Care Program
- Clinical Practice Guidelines BlueCare Tennessee guidelines for medical conditions
- Foreign Language Assistance
- eBusiness Tools and Resources Access benefit and eligibility details, submit electronic claim transactions and more
- Regulations Guidance and Medicaid Audit Contractors Details about TennCare guidance and our Medicaid audit contractor
- School-Based TennCare Guidelines for Nursing Services
- School-Based Services Update - June 2022
- Non-Discrimination Compliance Training
- BlueCare Civil Rights and Diversity
- Cultural Competency Information
- Deficit Reduction Act
- Deficit Reduction Act Attestation in Forms
- Deficit Reduction Act Provider Training
- Deficit Reduction Act Attestation – Policy and Procedure Requirements
- Office Flyer for Renewal Packets
- Office Flyer for Renewal Packets (Spanish)
- Sandata Order Manager Training Guide
- Sandata Order Manager Admin Training
- Sandata Order Manager Application Training
- Referral Directory
- Electronic Visit Verification Resources for Home Health Providers
Behavioral Health
Training
- Q1 2020 Provider Education Presentation: HEDIS(R) Updates
- Q2 2020 Provider Education Presentation: PIN Updates
- Q3 2020 Provider Education Presentation: Behavioral Health Transportation Benefit
- Q1 2021 Provider Education: HEDIS Updates
- Q2 2021 Provider Education: Behavioral Health Updates
- Q3 2021 Provider Education Presentation: Behavioral Health Transitions of Care
- Q4 2021 Provider Education Presentation: Telehealth Best Practices
- Behavioral Health WebEx Training Presentations
- 2021 MAT Virtual Educational Session
- 2020 MAT Virtual Education Session
- 2019 MAT Virtual Education Session (Please note you may need to install the WebEx Network Recording Player to view this training session)
- FREE Web-Based Training for Child Welfare and Behavioral Health Providers
Toolkits
- Intellectual/Developmental Disabilities Toolkit
- Intellectual/Developmental Disabilities Toolkit, Vanderbilt Kennedy Center
Resources
- TennCare's Opioid Strategy
- Neonatal Abstinence Syndrome: Education Material for Medication-Assisted Treatment (MAT) Providers
- BeHiP
- TennCare Memo: Updates Expanding TennCare Buprenorphine Dosage Limits used for Medication Assisted Treatment
- Buprenorphine Medication Assisted Treatment (MAT) Program Description
- Naltrexone Medication Assisted Treatment (MAT) Program Description
- Buprenorphine Medication Assisted Treatment (BMAT) Project ECHO
- Applied Behavior Analysis (ABA) Network FAQs
Long Term Services and Supports
Key provider details for BlueCare Tennessee’s enhanced services programs