Tennessee Providers

Training resources


For physicians and healthcare professionals

ELEARNING

Provider Pathways

Provider Pathways is a 24/7 educational resource that offers a foundation for doing business with Wellpoint in Tennessee. It is designed to be user friendly and gives you flexibility when scheduling training for yourself and your staff. In order to launch the Provider Pathways eLearning, please complete TN Provider Pathways registration.

MANUALS & GUIDES

Provider manual

The provider manual provides key administrative information, including the quality improvement program, the utilization management program, quality standards for participation, claims appeals, and reimbursement and administration policies for Medicaid and Medicare recipients.

Fraud, waste, and abuse (FWA)

The Tennessee Bureau of Investigation Medicaid Fraud Control Division (TBI MFCD) is the state agency responsible for the investigation of provider fraud, waste, and abuse in the TennCare program. Wellpoint and its network providers are required to cooperate with all state and federal agencies, including TBI MFCD and OIG, in investigating or prosecuting FWA.

Providers can find more information on preventing, detecting, and reporting FWA by referring to your Medicaid and Medicare provider manuals.

Trainings and tutorials

Wellpoint offers training and tutorials to support providers in continuing their education. Presentations, videos, and other training documentation will be added as they become available.

Training opportunities for behavioral health providers

Sign up with Psych Hub , our new training partner for our behavioral health providers. You’ll gain access to Psych Hub’s catalog of educational podcasts, videos, and other accredited content. You’ll also gain the opportunity to receive free continuing education units, a requirement for most professional licenses. Numerous self-paced courses in evidence-based interventions are ready for you.

Build your Psych Hub dashboard today

Related topics

SBIRT

Screening, brief intervention, and referral to treatment

SBIRT is a clinician’s tool for identifying unhealthy substance use behaviors and providing appropriate intervention for at risk patients.

CONTINUING MEDICAL EDUCATION

Improving the patient experience

A series of online courses for providers and office staff that conveys practical strategies for implementing patient care and applying best practices.

RESOURCE LIBRARY

Our full library of provider materials

Having trouble finding the resource you are looking for? Check out our full library of provider materials to locate exactly what you are trying to find.

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality services to our members.