How to Get Credentialed with TennCare in Tennessee
Quick Overview
Timeline
30 - 60 days
CAQH
Not Required
Re-credentialing
Every 5 year(s)
Delegated
No
Who Runs Tennessee Medicaid Provider Enrollment
50-state researchEnrollment Portal
TennCare Provider Data Management System
Operated By
Gainwell Technologies
Platform
PDMS
From PayerReady's 50-state Medicaid enrollment platform research, verified July 2026. Portal contracts change; where an operator is in transition or not publicly confirmed, we say so rather than guess.
Tennessee-Specific Requirements
Medicaid Information: Tennessee
Agency: Tennessee Division of TennCare
Program: TennCare
Portal: https://www.tn.gov/tenncare
Phone: 1-800-852-2683
Step-by-Step Enrollment Process
Gather Required Documents
Collect all necessary credentials including your medical license, DEA certificate, malpractice insurance, NPI number, and any state-specific requirements for Tennessee.
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.
Track & Follow Up
Credentialing typically takes 30-60 days. Monitor your application status 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 in Tennessee.
Required Documents Checklist
Background Check
Federal/state background check required for Medicaid enrollment
CV/Resume
Work history required
Malpractice Insurance
ConditionalRequired in most states; some state programs waive for government employees
Medical License
NPI Certificate
Enrollment Forms
TennCare Provider Enrollment
RequiredFree Tools for Your TennCare Enrollment
Related Articles
UnitedHealthcare Provider Credentialing: Complete Guide to UHC Enrollment for Physicians and Group Practices
How to get credentialed with UnitedHealthcare. UHC commercial (60-90 days), Medicare Advantage (45-60 days), Community P...
Which Insurance Panels Should You Join First? A Data-Driven Prioritization Guide for New Practices
Do not credential with 12 payers at once. Prioritize by market share, reimbursement rate, and processing speed. Specialt...
Insurance Credentialing for Therapists and Mental Health Providers: How to Get Paneled, Get Paid, and Grow Your Practice
How therapists get credentialed (LPC, LCSW, LMFT, PsyD). Which payers accept each license type, CAQH setup, timelines, a...
Key Credentialing Terms
- Capitation
- A payment model where a payer pays a provider a fixed amount per member per month regardless of whether the member recei...
- CAQH
- The Council for Affordable Quality Health Care, an organization that maintains a universal provider database (CAQH ProVi...
- Credentialing
- The process of verifying a healthcare provider's qualifications, training, licensure, and professional background to ens...
- Effective Date
- The date on which a provider's enrollment or network participation becomes active, allowing them to begin billing a paye...
- Managed Care
- A healthcare delivery system organized to manage cost, utilization, and quality through techniques such as provider netw...
- Network Adequacy
- The requirement that a health plan's provider network has enough providers in each specialty and geographic area to give...
- NPI
- The National Provider Identifier is a unique 10-digit identification number issued by CMS to healthcare providers, requi...
- Primary Source Verification
- The process of verifying a provider's credentials directly from the original issuing source, such as medical schools, li...
Credentialing Checklist
Make sure you have everything ready before applying to TennCare.
View Physician Credentialing Checklist →Contact Information
Provider Credentialing
National1-800-852-2683
Mon-Fri 8am-5pm
Provider Services
National1-800-852-2683
Claims & Billing
National1-800-852-2683
Quick Links
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.