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Tennessee TennCare Program Integrity List: A Provider’s Guide to the Tennessee Medicaid Exclusion List

Tennessee maintains a separate Medicaid exclusion list, the TennCare Program Integrity List. Healthcare providers that operate in Tennessee or that hire employees licensed in Tennessee must screen this list alongside the federal OIG LEIE and GSA/SAM. Missing a state-level exclusion is treated under the same civil money penalty framework as missing a federal exclusion: overpayment liability, CMPs of up to $24,947 per violation, and potential False Claims Act exposure for retained overpayments.

This guide is a working reference to the Tennessee Medicaid exclusion list: what it covers, how to access it, and how it fits into a federal-plus-state screening program. A more detailed practitioner playbook and enforcement history for this state are in development.

Official state source: https://www.tn.gov/tenncare/fraud-and-abuse/program-integrity.html

Verify your check directly with the state authority. Exclusion Screening, LLC screens this list as part of standard SAFER Plus service, alongside the OIG LEIE, GSA/SAM, and every other state Medicaid exclusion list.

For the full regulatory framework of OIG exclusions and CMP liability, see The Definitive Guide to OIG Exclusions. For the complete state-by-state view, see the state exclusion lists hub.

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