How to become a choices provider in tennessee: Fill out & sign online

Here's how it works

01. Edit your how to become a choices provider in tennessee online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send choices program tn application via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out tenncare choices provider application with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the tenncare choices provider application in the editor.
Begin by filling out your legal business name and any 'Doing Business As' (D/B/A) names. Ensure accuracy as this information is crucial for your Medicaid Provider Number assignment.
In the 'Services you propose to offer' section, check all applicable services. This helps define your role within the TennCare program.
Complete the contact information fields, including practice location, telephone number, and fax number. This ensures that communication regarding your application is seamless.
Review the checklist provided in the application to ensure all required documents are included before submission. Missing documents can delay processing.
Sign and date the application where indicated. An original signature is mandatory for processing your application.

Start using our platform today to streamline your tenncare choices provider application process for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

How to apply for the Choices program in Tennessee?

If you are interested in applying for CHOICES, contact your local AAAD: Area Agency on Aging and Disability (AAAD) TN Map (Use this map to view AAADs by County). Call 1-866-836-6678 from anywhere in the state to be automatically directed to your nearest Area Agency.

What is the free Tennessee Assistance Program for seniors?

Income Asset Limits for Eligibility 2025 Tennessee Medicaid / TennCare Long-Term Care Eligibility for Seniors Type of MedicaidSingle Medicaid Waivers / Home and Community Based Services $2,901 / month $2,000 Regular Medicaid / Aged, Blind, and Disabled $967 / month $2,0002 more rows Jun 5, 2025

How to become a choice provider in Tennessee?

CHOICES is TennCares program for long-term care services. Long-term care includes help doing everyday activities that you may not be able to do as you grow older or if you have a physical disability. These are activities like bathing, dressing and preparing meals. Long-term care can be provided in a nursing home.

What is the TennCare choices program in Tennessee?

You can call TennCare Connect for free at 855-259-0701 to get help over the phone. You can go to any DHS office in any of Tennessees 95 counties. A trained staff person there will help you apply. Call 866-311-4287 to find a DHS office near you.

how to become a didd provider in tennessee

Tenncare choices provider application online Tenncare choices provider application pdf Tenncare choices provider application status Tenncare choices provider application form TennCare provider Registration portal TennCare Provider Portal Tennessee Medicaid provider enrollment phone number TennCare CHOICES application online