US Tennessee Terminated Providers List

The TennCare Office of Program Integrity maintains a list of providers whose Medicaid provider agreement has been terminated. According to the TennCare Policy Manual:

All TennCare contractors, subcontractors, and providers are required to screen their owners, employees, and subcontractors both initially and on an ongoing monthly basis, against the HHS-OIG List of Excluded Individuals/Entities (LEIE), General Services Administration (GSA) System for Award Management (SAM), and the TennCare Terminated Provider List to identify individuals and entities excluded or debarred from participating in federal health care programs. According to the terms of TennCare’s managed care contracts, MCCs are prohibited from executing provider agreements with providers who have been excluded from participation in federal health care programs pursuant to sections 1128 and 1156 of the Social Security Act. Furthermore, the MCCs’ provider agreements require that providers do not employ or contract with any individual or entity that has been excluded or debarred.