Behavioral Health Credentialing in Tennessee: TennCare and Commercial
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Behavioral Health Credentialing in Tennessee: TennCare and Commercial

Behavioral health credentialing in Tennessee runs through a managed care model where nearly every Medicaid dollar flows through one of three private plans. Getting enrolled with the state is only the first step; contracting with the MCOs is what lets you bill. Tennessee also skips the behavioral health carve-out most states use. Here's how it all works, on both the TennCare and commercial sides.
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Behavioral Health Credentialing: Why It’s Different and What to Watch For
Posted inCredentialing

Behavioral Health Credentialing: Why It’s Different and What to Watch For

Behavioral health credentialing follows the same basic mechanics as any other credentialing, but a handful of differences make it harder, slower, and easier to get wrong: the carve-out structure most payers use, a thicket of license types that vary by state, supervision rules for associate-level clinicians, and separate substance use disorder requirements. Here's what makes it distinct and how a group should handle it.
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