The provider manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies. This provider manual supports TennCare, Tennessee’s Medicaid program. It has been operating under a waiver from CMS since to offer coverage to the traditional Medicaid-eligible population as well . Welcome to the Community Plan provider manual. This complete and up-to-date reference PDF manual allows you and your staff to find important information such as processing a claim and prior authorization. This manual also includes important phone numbers and websites on the How to Contact Us page.
Welcome to the Community Plan provider manual. This complete and up-to-date reference PDF manual allows you and your staff to find important information such as processing a claim and prior authorization. This manual also includes important phone numbers and websites on the How to Contact Us page. The Contract Provider Manual is a document that outlines the responsibilities and requirements of service provision for the contract provider network. It is divided into thirteen individual sections pertaining to specific levels of care available to children and youth through contractual relationships between DCS and contract provider agencies. The provider manual provides key administrative information, including the quality improvement program, the UM program, quality standards for participation, claims appeals, and reimbursement and administration policies.
AmerigroupUniversity of Tennessee, Knoxville Extensive review of policies ensures compliance with the Department's Provider Manual, Waiver Service. Items 5 - 11 communications channels. These include; as part of the DentaQuest TennCare Annual Access Proposal: • Member handbook. • Provider directory. Contracted providers must acknowledge this provider manual and any other written materials provided by Blue Cross NC or Amerigroup Partnership Plan.
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