ACKNOWLEDGEMENT

This application is for use by authorized personnel only. Individuals accessing this application without authority or in excess of their authority are in violation of Federal and/or State laws, regulations and/or policies and may be subject to criminal, civil and/or administrative actions.

I understand that violation of any program policies and procedures, altering the application, disclosing the contents of this application to others not properly authorized without proper releases of information, entering fraudulent data and/or sharing the user ID assigned to me with my password may result in termination of system/application access.

By logging in to this application I certify that I am authorized to perform the function(s) which I am about to perform. I further certify that I am using the User ID assigned to me with its associated password, and that I have not shared this User ID and password with anyone else.

User ID
Password  
For help using this application, contact the
Designated Support Person
Debbie Shahla at (615)532-6505 - Debbie.Shahla@tn.gov
James Ladd at (615)741-1196 - James.Ladd@tn.gov
Attachment    BHSN of TN Provider Contact and County Information 8-8-17.pdf
Attachment    BHSN of TN Flyer.pdf
Attachment    BHSN of TN FORM - Change of Information revised 8-7-17.pdf
Attachment    BHSN of TN FORM - Eligibility Checklist-revised 12-22-15.pdf
Attachment    BHSN of TN FORM - Income Statement and Homeless Statement.pdf
Attachment    BHSN of TN FORM -BHSNT New User Request Form -revised 8-7-17.pdf
Attachment    BHSN of TN FORM -Enrollment Form- revised 6-14-2017.pdf
Attachment    BHSN of TN ICD10 Eligibility Codes-12-16.pdf
Attachment    BHSN of TN Provider Manual -revised July 2017.pdf
Attachment    BHSN of TN Service Rate Sheet FY2018.pdf
Attachment    County Codes.pdf
Attachment    COVER RX Termination Notice.pdf
Attachment    coverrx_app_english.pdf
Attachment    coverrx_app_spanish.pdf
Attachment    coverrx_druglist-7-1-2017.pdf
Attachment    GUIDELINES FOR COMPLETING BHSN REVIEWS.pdf
Attachment    List of Contacts for BHSN of TN Agencies.pdf
Attachment    PAP Quarterly Form Final.pdf
Attachment    Patient Inquiry Screen User's Guide.pdf
Attachment    RMHI Guidelines for Referring to the BHSN of TN rev 1-11-2016.pdf
Attachment    TDMHSAS PLANNING REGIONSColorMap with County names.pdf
Attachment    TennCare Retro Billing Guidelines-Updated 10-14-14.pdf