PROVIDER ADMINISTRATION MANUALS
View our Provider Administration Manuals
As discussed in our provider contracts, these manuals are your source for important information about our policies and procedures.
Please note, the updated PAMs are effective on the first day of the new quarter. Effective dates are as below:
Quarter 1: Jan. 1
Quarter 2: April 1
Quarter 3: July 1
Quarter 4: Oct. 1
- Commercial PAM (Preview Edition Effective July 1, 2026)
- Commercial Provider Administration Manual (including Medicare Advantage)
- BlueCare Tennessee Provider Administration Manual
- Managed Long-Term Services and Support (MLTSS) Manual
- BlueCare Tennessee Community Living Supports Manual for CHOICES and ECF CHOICES
- BlueCare Plus (HMO SNP)℠ Provider Administration Manual
Behavioral Health Levels of Care
We’re dedicated in offering specialized guidance to ensure members get the right care, at the right time.
See our coverage policies & guidelines
Find more information about our medical policies, utilization management guidelines and administrative services policies. You can also see newly approved policies and guidelines, and offer feedback on developing policies and updates.
Administrative Services Policies
Administration Services PoliciesDraft Administration Services PoliciesUpcoming Administration Services Policies
