TennCare
Credentialing and enrollment guides for TennCare across 1 states.
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
States Available
1
About TennCare
Tennessee Division of TennCare — TennCare
How to Get Credentialed
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and board certifications.
Prepare Your Application
Complete TennCare's provider enrollment application with all required information and supporting documentation.
Submit Your Application
Submit your completed enrollment package to TennCare. Select your state below for state-specific submission details.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application and respond promptly to requests for additional information.
Free Consultation
Need help enrolling with TennCare?
Our specialists handle the entire TennCare enrollment process: applications, follow-ups, and approvals across all 50 states.
Required Documents
Background Check
CV/Resume
Malpractice Insurance
Required in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
TennCare Provider Enrollment
Contact Information
Provider Credentialing
1-800-852-2683
Mon-Fri 8am-5pm
Provider Services
1-800-852-2683
Claims & Billing
1-800-852-2683
Quick Links
Available States
Reviewed by the PayerReady Credentialing Team
Our credentialing specialists verify every article against current CMS regulations, NCQA standards, and payer-specific enrollment requirements. See our editorial process.
Select Your State
Choose your state for TennCare-specific credentialing details including timelines, contacts, and local requirements.
TennCare credentialing requirements by state
TennCare enrollment is not identical everywhere. The table below lists what actually differs across the 1 state TennCare operates in — network status, local plan names, portals and the state-specific conditions our credentialing team has recorded.
| State | Network | Timeline | State-specific notes |
|---|---|---|---|
| Tennessee | Open | 30–60 days | Tennessee Medicaid (TennCare) enrollment steps: (1) Obtain NPI via NPPES. (2) Register through the Tennessee DHS TennCare provider enrollment portal. (3) Submit application with TN state license, proof of malpractice insurance, and required documentation. (4) Background check including TBI and federal criminal history is required for all providers. TennCare operates managed care through 3 MCOs covering all Medicaid beneficiaries statewide. Behavioral health providers accepted include LPC/MHSP (Licensed Professional Counselor / Mental Health Service Provider), LCSW, and LMFT with active Tennessee licensure. Revalidation is required every 5 years. |
Compiled and maintained by the PayerReady credentialing team from payer portals and direct payer contact. Last verified March 22, 2026. Network status changes without notice — confirm before you file.
Common questions about TennCare credentialing
How long does TennCare credentialing take?
TennCare credentialing typically takes 30–60 days from a complete submission to an approved effective date. Incomplete applications are the main cause of delay: a missing document or an unattested CAQH profile restarts the clock rather than pausing it.
Does TennCare require CAQH?
No. TennCare does not enroll through CAQH ProView, so credentialing data is submitted directly on TennCare's own application instead. You still need the same underlying documents — license, DEA where applicable, malpractice coverage and work history.
Which states does TennCare operate in?
TennCare has credentialing operations in 1 state. 1 of those 1 currently show an open panel. Requirements are not uniform: local plan names, provider portals and state-specific conditions differ, which is what the state-by-state table above records.