Tennessee Healthcare Consulting
Tennessee behavioral health & SUD consulting.
Tennessee-specific consulting for SUD and mental health providers — TDMHSAS licensure, TennCare MCO contracting, commercial behavioral networks, and BlueCross BlueShield of Tennessee strategy.
Payers & networks
Where Tennessee contracting actually happens.
TennCare MCOs
Contracting with BlueCare Tennessee, UnitedHealthcare Community Plan, and Amerigroup Tennessee for Medicaid and CoverKids populations.
BCBS Tennessee
BlueCross BlueShield of Tennessee Network S, Network P, BlueAdvantage, and behavioral network contracting.
Commercial Behavioral
Optum, Aetna BH, Cigna/Evernorth, Carelon, and Magellan for Tennessee commercial behavioral and SUD.
TDMHSAS Licensure
Tennessee Department of Mental Health and Substance Abuse Services facility licensure across all levels of care.
VA CCN Region 2
VA Community Care Network Region 2 (Optum) contracting.
Tricare East
Tricare East (Humana Military) network contracting.
What we deliver in Tennessee
End-to-end Tennessee consulting.
Licensure, accreditation, payer contracting, and revenue cycle — sequenced for the realities of operating in Tennessee.
- TDMHSAS licensure
- TennCare MCO contracting
- BCBS TN contracting
- Commercial carve-out contracting
- CARF & Joint Commission
- Provider credentialing
- Telehealth setup
- Revenue cycle management
- Compliance & UM prep
- OBOT/MAT program setup
FAQ
Tennessee contracting, answered.
- How does TennCare behavioral health contracting work?
- TennCare contracts MCOs that manage both physical and behavioral health for their members. Behavioral providers credential and contract with each MCO directly. SUD residential and OBOT programs require TDMHSAS licensure for the specific level of care first.
- Is BCBS Tennessee open for behavioral providers?
- BCBST behavioral panels vary by region. Nashville and Memphis tighten faster than East Tennessee. We pull current panel status and prepare a network-need package when needed.
- What's required to operate an OBOT in Tennessee?
- Tennessee regulates OBOT (office-based opioid treatment) under TDMHSAS with detailed staffing, prescribing, counseling, and monitoring requirements. We help with the OBOT certificate application and payer contracting for MAT services.
- How long does Tennessee contracting take?
- TDMHSAS licensure 60–120 days; CARF or Joint Commission 6–9 months; TennCare MCO and commercial contracting 90–180 days after accreditation. Tracks run in parallel.
Operating in Tennessee
Open Tennessee payer doors that actually pay.
TDMHSAS licensure, TennCare MCO contracting, BCBS TN, and commercial carve-outs — built for the Tennessee market.