Become a Credentialed Provider

The Provider Credentialing Application Forum is for potential providers seeking to provide services through the following programs administered by the Department of Disability and Aging (DDA) and Managed Care Organizations (MCOs): Katie Beckett-Part A, Katie Beckett--Part B,1915c Home and Community-Based Services Waivers, Employment and Community First (ECF) CHOICES, and CHOICES.  The purpose of the Forum is for you to receive information about DDA and its mission; to learn more about the program services and the application process; to obtain guidance on questions about the application; and to ensure clarity on information provided in the application instructions.

While not mandatory, attendance, is highly encouraged. The information provided at the meeting can significantly help you understand the provider credentialing applications and increase your chances of submitting a successful application.

Provider Credentialing Application Forum Dates

The Provider Credentialing Applicant Forums are scheduled two (2) times within a quarter from 12:30pm -3:00pm CST.  The Forums are virtual, on the day and time of the meeting click the meeting date and follow the details to join.

Application Submission

1. See the Submission Links below, submit the application to the region you are requesting to provide the service. 
2.  If requesting to provide services in multiple regions, submit the application to the region in which your main office is located. 
   • Note: When naming your application include the name of your organization as part of the title in each uploaded document each time you submit information. Example:  ABC application, ABC background checks, ABC Disclosure form, etc. If the uploaded application and supporting documents are not preceded by the initials from your company’s name this may delay the downloading process and credentialing of your application submission.
   • Note: If you decide to upload a ZIP FILE. Please ensure the file states the name of your organization.
3. DDA will email confirmation of your application within two (2) business days. It is very important you contact DDA if you do not receive this email.
4. Please allow 30 calendar days before requesting the status of your application. 
5. For questions, contact the DDA Provider Enrollment Coordinator by email at DDAProvider.Application@tn.gov or by phone at (615) 532-6530

• Application for Recredentialing
  • Instructions for Completing Recredentialing Application
  • Attachment 1: Recredentialing Review Requirements
  • Attachment 2: Licensure Requirements
  • Attachment 3: Policy Requirements
• Recredentialing Review Checklist

• DDA Available Service Rates
• Katie Beckett Available Service Rates
• Title VI of the Civil Rights Act of 1964 Annual Training

If you have any questions, you may contact Linda Maurice at DDAProvider.Application@tn.gov