How to Become a Medicaid Provider in Tennessee (TN)

Q: How do I become a Medicaid provider in Tennessee?

Apply through Tennessee Division of TennCare. Timeline: 60–120 days.

Tennessee Medicaid at a Glance

Program Name

TennCare

Managing Agency

Tennessee Division of TennCare

Reimbursement Rates

$16–$23/hour for personal care; $42–$82/visit for skilled nursing

Application Timeline

60–120 days

Enrollment Process: Step by Step

1
Apply through TennCare Provider Enrollment
2
Complete TennCare Provider Application
3
Submit NPI, EIN, and Tennessee business registration
4
Complete TBI background checks
5
Obtain Tennessee Department of Health Home Health Agency License
6
Submit liability insurance documentation
7
Contract with TennCare MCOs (BlueCare, Amerigroup, UHC)

Accepted Provider Types

Home Health Agencies Personal Care Services CHOICES Providers Private Duty Nursing

Required Certifications & Licenses

✓ TN DOH License
✓ NPI Number
✓ TBI Background Check

Waiver Programs in Tennessee

These Medicaid waiver programs fund home and community-based services in Tennessee:

CHOICES (Long-Term Services & Supports)

Employment & Community First CHOICES

Katie Beckett Program

Billing System

TennCare MCO billing (BlueCare, Amerigroup, UHC Community Plan)

⚠️ Common Denial Reasons

✗ Missing DOH license
✗ MCO credentialing delays
✗ Background check issues

💡 Tips for Approval

★ TennCare is fully managed care
★ CHOICES is the primary LTSS program
★ Contract with all three MCOs for maximum access
★ Tennessee has a large and growing home care market

Need Help Enrolling in Tennessee?

Our team specializes in Medicaid provider enrollment for home care agencies. We'll guide you through every step.

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Other States

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Frequently Asked Questions — Medicaid in Tennessee

How do I become a Medicaid provider in Tennessee?

To enroll as a Medicaid home care provider in Tennessee, you must apply through Tennessee Division of TennCare. The process includes: Apply through TennCare Provider Enrollment. Timeline: 60–120 days.

What are the Medicaid reimbursement rates in Tennessee?

$16–$23/hour for personal care; $42–$82/visit for skilled nursing

What certifications are required in Tennessee?

Required certifications include: TN DOH License, NPI Number, TBI Background Check.

What waiver programs are available in Tennessee?

CHOICES (Long-Term Services & Supports); Employment & Community First CHOICES; Katie Beckett Program

What are common reasons for Medicaid denial in Tennessee?

Missing DOH license; MCO credentialing delays; Background check issues

How to Become a Medicaid Home Care Provider in Tennessee