Providers
BCBST.com
- NEWS – TennCare Transition in West and East Grand Regions – Letters to providers and frequently asked questions
- QUICK LINKS- Provider Manual -The Volunteer State Health Plan Provider Administration Manual contains comprehensive information regarding BlueCare® operating policies and procedures. The information contained in the manual applies to Providers who care for BlueCare and/or TennCareSelect Members.
- BLUECARE® / TENNCARESELECT-
- Amended and Restated Contractor Risk Agreement – West and East MCO contract
- Provider Initiated Notice - Adverse Action (Electronic Form)
- Provider Initiated Notice - Adverse Action
- Crisis Information
- Disclosure of Ownership & Control Interest Statement
- State Medicaid Director letter
- Present On Admission (POA) Indicators
- Reimbursement For Selected Hospital Acquired Conditions (HACs) Not Present On Admission (POA)
- Reimbursement For Serious Reportable Adverse Events (Never Events)
Find Out More 
TennCare Programs & Services
CaringStart Maternity Management Program
The CaringStart Maternity Management program partners with providers to improve the health and birth outcomes of our pregnant members.
CareSmart Disease Management Programs
CareSmart Disease Management Programs partner with providers to improve the health and quality of life for members with chronic disease and illness. The programs emphasize the importance of primary care provider collaboration and involvement.
High Tech Imaging Services
As of November 1, 2008, prior authorization may be required for CT, CTA, MRI, MRA, MR Spectroscopy, PET Scans, and Nuclear Cardiology imaging services for BlueCare members in the West Grand Region. These prior authorization requirements will also apply to members in the East Grand Region on January 1, 2009.
TENNderCare / EPSDT
TENNderCare is a program for BlueCare and TennCareSelect members under the age of 21. The program provides free Early Periodic Screening, Diagnosis and Treatment (EPSDT) services. Every child under the age of 21 is eligible for TENNderCare services and should receive checkups, even if there is no apparent health problem.
Find Out More
Important Provider Links
- Medical Emergency List of Diagnosis Codes
- Sorted by Description Alphabetically (1.43 MB)
- Sorted by Diagnosis Code (1.41 MB)
- Medical Non-Emergency List of Diagnosis Codes (2.2 MB)
- BCBST.com provider news
- TennCare Master Drug List
Behavioral Health
BlueCare Providers
Find Out More 
TennCareSelect and SelectKids Providers
