Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
Which Medicaid managed care plans do home care agencies contract with in Tennessee?
Last verified October 17, 2026 · All Tennessee resources
Tennessee delivers long-term services and supports through 3 managed care plans in TennCare CHOICES in Long-Term Services and Supports (and Employment and Community First CHOICES for people with I/DD). TennCare delivers home and community-based long-term care through CHOICES, which is run by the TennCare managed care organizations. A home care agency serving CHOICES members needs a contract with each health plan whose members it wants to serve. TennCare lists three health plans statewide: Wellpoint, BlueCare and UnitedHealthcare Community Plan.
Which plans are there?
TennCare lists the same three health plans for West, Middle and East Tennessee. TennCare Select (run by BlueCare) serves certain children and is not a CHOICES plan.
For the programs that pay for home care, see Tennessee Medicaid waivers.
What should you confirm with the state?
Confirm credentialing requirements with each health plan before accepting CHOICES referrals.
More for Tennessee
Medicaid managed care by state: other states
Related guides
Authorizations
How Do You Keep Caregiver Hours Inside a Medicaid Authorization?
Track units remaining, the end date and the service code for every client, and check them before each schedule change. Hours over the cap are unbillable.
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