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.

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For help using this application, contact the
Designated Support Person
Katie Lee at (615)770-1790 - Katie.Lee@tn.gov
James Ladd at (615)741-1196 - James.Ladd@tn.gov
Attachment    BHSN Checklist for Eligibility File 9.2019.pdf
Attachment    BHSN Enrollment Application 7.1.2019.pdf
Attachment    BHSN No Income and Homeless Declaration Statement Form 8.2019.pdf
Attachment    BHSN of TN Provider Contact and County Information 5.2019.pdf
Attachment    BHSN of TN Service Rate Sheet FY19 5.21.2019.pdf
Attachment    BHSN Provider Manual_FY20_Revised_Aug_26.pdf
Attachment    BHSN Quarterly Report - Patient Assistance Program 8.2019 Fillable.pdf
Attachment    BHSN_of_TN_2019_Onepager.pdf
Attachment    CMHA Staff Contacts for Transfers.pdf
Attachment    County Codes.pdf
Attachment    COVER RX Termination Notice.pdf
Attachment    CoverRx App - English rev June 2019.pdf
Attachment    CoverRx App - Spanish rev June 2019.pdf
Attachment    CoverRx_CoveredDrugList_12.01.18.pdf
Attachment    FORM - Change of Information - Revised 10-31-2017.pdf
Attachment    FORM -New User Request Form -revised 8-7-17.pdf
Attachment    GUIDELINES FOR COMPLETING BHSN REVIEWS.pdf
Attachment    ICD10 Diagnosis Codes - 10-1-2017.pdf
Attachment    Patient Inquiry Screen User's Guide.pdf
Attachment    RMHI Guidelines for Referring to the BHSN of TN Revised 6.25.2019.pdf
Attachment    TDMHSAS PLANNING REGIONSColorMap with County names.pdf
Attachment    TennCare Retro Billing Guidelines-Updated 10-14-14.pdf