Overview of Hospital Presumptive Eligibility, TennCare Access Portal Training Documents, Cost-Effective Alternative Prior Authorization Form, Transition Plan Documents for Federal Home and Community Based Services Rules, Involuntary Discharge and Transfer Appeals, Medication Therapy Management Pilot Program, Department of Education/TennCare Provider Registration, Becoming a Qualified Hospital for Hospital PE, Hospitals Participating in the Hospital PE Program, Moratorium on Rural Health Centers and Final Rate Setting, Notice of Finalized Update to the Quality Improvement Strategy, TennCare Enrollment and Eligibility Facts. Create a user account to complete and submit your organization’s TennCare registration. Complete the form by filling out your office contact information. Provider Group Registration. We use a tool called "Google Analytics" to collect information about use of this site. The Provider Portal gives you free, real-time access to many payers through your browser. How do I set one up? Training Academy. To register for an account, please enter your unique Registration Key provided to you by Bienvivir. All other provider entities will register electronically by clicking the All Other Provider Registration link below. Back. Welcome to the TennCare Registration Home page for new and existing providers. Enter Provider Info. Web Portal Overview Welcome to the TennCare Medicaid Provider Incentive Payment Program (PIPP) web portal. Current registered providers can log into their existing registration record and click on documents and reports. Create Account. Ensure that the healthcare organizations you authorize have instant access to accurate, timely information. Providers help patients fight opioid addiction and abuse with behavioral therapy and medication treatments. You can register at https://www.tn.gov/tenncare/providers.html . Contact Us. We're focused on improving overall member health and how care is delivered. EFT Enrollment Instructions. Enter the email you use for your account. Register for the Portal STEP 1 In your browser, go to https://provider.dentaquest.com and click on the Register button. Providers. CAQH ProView Reference Material. Individuals accessing this system without authority or in excess of their authority are in violation of Federal and/or State laws, regulations and policies and may be subject to criminal, civil and/or administrative actions. A valid TennCare/Medicaid ID number is required to: Please select the appropriate link below to access provider registration information appropriate for your provider type. Unauthorized access is prohibited by Public Law 99-474 "The Computer Fraud and Abuse Act of 1986". ORGANIZATIONAL PROVIDERS: Create a user account to complete and submit your organization’s TennCare registration. In order to do this, you will need to have information both about the business office and specific details on at least one of the Providers at that office. Click on the Apply Now button to begin. MAT provides a whole-patient approach to the treatment of substance use disorders. If you are an individual provider that will be submitting claims using your own individual NPI, you have received a Medicaid ID for your individual practice location, Individual (Provider Person) Provider Registration Information, All Other Provider Registration Information, Provider Registration/Re-validation Frequently Asked Questions (FAQs), Single or Multi-Specialty Provider Registration/Re-validation Frequently Asked Questions (FAQ). Forms. Your User ID and Passcode will be included. WARNING! Thanks to those of … Register for TennCare Online Services. Create Account. We’re glad you stopped by. This is the number received after completing registration at the CMS Registration and Attestation web site. How can I get health care if I don't qualify for TennCare? Subscriber/Member ID number 2. Select the User Role from the drop down box. Make sure to click SUBMIT once all information has been entered. Learn more about how you can maximize your quality measurements for patient care. TennCare Connect is an online tool for Tennesseans to apply for TennCare, CoverKids, and Medicare Savings Programs! Please click here if you are not redirected. Unregistered providers must register. Log In. Provider newsletter message: Pharmacy 90 Day Prescription. Forgot User ID. TennCare Provider Registration Portal * * * TennCare Home; Home; CAQH ProView; EFT Enrollment Instructions ... TennCare; 310 Great Circle Rd. Individual providers can submit key information to obtain a Medicaid ID for a new provider and existing providers can enter key information which will allow us to receive updates electronically. Partner Portal Access Training Schedule & Registration for May & June 2021. Amerigroup Community Care wants to ensure that our members have uninterrupted access to medications during the COVID-19 threat. You make your patients' lives better. Once you are set up, you can use the portal as often as you like. Providers, as you know each DIDD HCBS waiver provider is required to complete electronic registration in TennCare’s Provider Data Management System (PDMS) portal. a provider type that can participate with Medicare, the provider must register with Medicare, as noted in TennCare policy PRO-16-001 (“Provider Screening Requirements”). We'll email you your username. Any Town Dental Practice (a group of General Dentists – Single Specialty), Happy Valley Medical Clinic (a group of Family Practitioners, Internists and Pediatricians – Multi Specialty), ABC Medical Equipment (Supplier of Durable Medical Equipment). STATE OF TENNESSEE, DIVISION OF TENNCARE GOVERNMENT SYSTEM. If you are an Individual Provider, information would only need to be completed once and completed here: TennCare CAQH Roster Registration. What you need to Register: 1. ... You’ll need your member ID number to register (located on your member ID card) Register. You will be sent to our new location now. This portal provides communication, data exchange, and self-service tools to providers participating in the EHR Incentive Program under Section 4201 of the American Reinvestment and Recovery Act (ARRA) of 2009. Visit the Amerigroup.com official website today. Please Login using instruction below or instructions listed on fax as soon as possible to avoid delays. Click Adobe Reader to download the latest version for free. Our provider networks and programs work together in delivering benefits and quality health care for your patients. It’s used mostly in cases when a patient has an addiction to heroin and/or prescription pain relievers that include opiates. TennCare Access Portal Training Documents. Create Account. Submit Medicare/Medicaid “cross-over” claims to TennCare for consideration of Medicare copays and deductibles for our members with Medicare as a primary carrier. We’re glad to hear that you are interested in joining the Amerigroup Community Care network. All other provider entities will register electronically by clicking the All Other Provider Registration link below. Create Account. Jane Doe, M. D. a practitioner participating as a member of a group. Sign in on the right to update your existing profile information or, if you are a new provider to CAQH ProView, register to create a profile. Password Reset. Enter your CMS Registration Number. INDIVIDUAL PROVIDERS: If you are an Individual Provider, information would only need to be completed once and completed here: TennCare CAQH Roster Registration. It’s ideal for direct data entry, from eligibility to authorizations to filing claims, and getting remittances. Once your registration is approved, you will receive a TennCare… Reset Password    Member Portal Account … User Login. Contract with any TennCare Managed Care Organization in order to provide medically necessary services to TennCare members. Your email address 3. When finished, click the "Register" button located at the bottom of the form. This passcode expires 24 hours after the email is sent. A valid TennCare/Medicaid ID number is required for participation in TennCare, Tennessee’s Medicaid program. Individual providers only need to register once to be added to the TennCare CAQH roster. Once your registration is approved, you will receive a TennCare/Medicaid ID number. PDMS Registration—IMMEDIATE ATTENTION NEEDED. Visit MagellanRx Provider Portal Magellan Specialty and Radiology Providers To obtain on-line authorization requests, view specific health plan clinical guidelines and provider education documents, please log on to RadMD or if you are a new user, you may request a RadMD user ID. After you're approved, you can also use TennCare Connect to manage your coverage. Login or register with Amerigroup to get full access to member benefits and support. Tennessee is home sweet home to you, your patients and us. No matter if you are a new provider to TennCare / Medicaid or an existing TennCare / Medicaid provider; you will need to register your information here. Some payers support special services on the Portal like checking claim status, resolving overpayments, and managing attachments. CAQH ProView Provider User Guide v30. Provider Person Registration. If you have forgotten or lost this number, please call the CMS Help Desk at 1-888-734-6433. User ID. You should receive a response From TennCare Online Services within 5 business days. We’re here to help you serve our neighbors who are covered by BlueCare Tennessee and other programs supported by the state of Tennessee. Our programs go beyond simply paying claims. We'll do the same for you. Single and multi-specialty groups will register and update their data and members from this web portal. Confirmation. Registration Provider information entered here will be submitted to CAQH to collect the information needed by TennCare for assigning a Medicaid ID. We have a diverse network of exceptional health care professionals that ensure our members have uninterrupted access to the health care they need. Registering takes only a few minutes from your smartphone, tablet or computer. Provider Registration Welcome to the Bienvivir Provider Portal Registration page. This system is for use by authorized personnel only. The only way to self-register for the Portal is as a Super User. WARNING! Are you a provider who needs assistance with TennCare related matters? We welcome the opportunity to work with you to provide medically necessary health care services to eligible TennCare members. It’s easy to set up. Welcome to BlueCare Tennessee. Icare Sign In. If so, please contact Provider Services at the member's Managed Care Organization for MCO claims. Once registered all other updates should be maintained in CAQH. TennCare Connect has moved! Create User ID & Password. Forgot Username. and you need to sign up for ACH/EFT or have been directed to set up an account, click Create Account. ALL PROVIDERS: Please review Electronic Registration. For general questions, eligibility verification or Medicare Cross-Over Claim questions, contact TennCare Provider Services at 1-800-852-2683. Member Portal Frequently Asked Questions I don’t have an account. Required Use Your tn.gov Email to Get UserName. Single and multi-specialty groups will register and update their data and members from this web portal. Tennesseans 12+: Now Eligible for a COVID-19 Vaccine. Claims & Disputes. TennCare is now using web-based technology to simplify and improve the provider registration / re-verification process. Reminder: The TennCare pharmacy program allows for a 90-day supply to be dispensed due to COVID-19. Click Adobe Reader to download the latest version for free. Provider Group Registration. TennCare does not have this number. If you have additional questions or need assistance, please call toll free: 800-852-2683 Monday to Friday 8 a.m. - 4:30 p.m. CST. Log In. With the spread of the coronavirus in Tennessee, we're adapting for our member's health.