Tennessee Medicaid Billing

Tennessee TennCare Behavioral Health Billing: Manuals, Codes and Payers

Tennessee Medicaid is called TennCare. Behavioral health is built into three managed care organizations, so each plan's manual sets the billing rules. This page lists the sources and the plans. Checked against state sources on 9/30/26.

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In this guide

  • ✓ TennCare behavioral health sources
  • ✓ The three TennCare MCOs
  • ✓ Where the plan manuals are
  • ✓ What we did not find
Tennessee medicaid billing: four smiling MCM South team members around a laptop
At a glance

Tennessee Medicaid Billing at a glance

This page covers tennessee medicaid billing for behavioral health claims: where the state provider manuals and code lists live, and which HCPCS codes apply to psychotherapists and psychiatrists. Rules vary by state and by payer, so confirm current requirements with the state Medicaid agency before you bill.

Use this Tennessee Medicaid Billing guide as a starting point. Tennessee Medicaid Billing rules differ by plan, so check whether a claim goes to the state fee-for-service program or to a managed care plan. Keep a copy of the current Tennessee Medicaid Billing manual your practice follows, and review your Tennessee Medicaid Billing process whenever the state issues an update.

Overview

Tennessee Medicaid at a glance

TennCare runs Medicaid in Tennessee. Three managed care organizations (MCOs) cover physical and behavioral health: Wellpoint, BlueCare Tennessee and UnitedHealthcare Community Plan. We found no single TennCare behavioral health code manual, so the plan manual is where billing rules live.
Psychotherapists and psychiatrists both bill these programs. Prescribers add evaluation and management (E/M) codes on top of the codes listed here. Read the payer's own manual too, because plan rules can be stricter than the state's.
Manuals

State manuals and fee schedules

Tennessee manuals
DocumentWhat it covers
TennCareThe state Medicaid agency.
TennCare behavioral health servicesThe state's behavioral health overview and MCO list (updated 3/31/2026).
TennCare health plans for providersContact points for each MCO.
TennCare managed care organizationsThe three MCOs.
Payers

Managed care plans and payer sites

Tennessee payer sites
PayerProvider site
BlueCare Tennessee (TennCare Select)Providers
Wellpoint TennesseeProvider site
UnitedHealthcare Community Plan administrative manualTennCare-hosted PDF

We did not find a TennCare fee schedule landing page.

Time-sensitive

What is changing

  • We found no 2026 TennCare behavioral health billing change to report. Check each MCO's provider bulletins.

Current as of 9/30/2026. Reconfirm before you bill.

Common questions

Tennessee Medicaid billing: frequently asked questions

Who pays TennCare behavioral health claims?

Wellpoint, BlueCare Tennessee or UnitedHealthcare Community Plan, depending on the member's plan.

Is there a TennCare behavioral health billing manual?

We did not find one. Use each MCO's provider manual and the TennCare behavioral health page.

Is behavioral health carved out in Tennessee?

We did not verify a separate carve-out. The state lists behavioral health inside the three MCOs.

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