Optum Network Manual
Clinical Criteria
Best Practice Guidelines
Algorithms for Effective Reporting and Treatment (ALERT)
Coordination of Care (COC)
Welcome to the Optum Network!
UnitedHealthcare Community Plan Tennessee (TennCare Medicaid) Provider Resources
UHCCP TennCare / CoverKids ABA Program
UnitedHealthcare Community Plan (UHCCP), is one of the selected managed care plans providing coverage to TennCare and CoverKids enrollees. Optum was selected by UnitedHealthcare Community Plan to develop and manage the ABA network for TennCare members, effective April 2018, and for CoverKids members, effective January 1, 2021. Please review the resource materials below to learn more about the process for applying to the network, and the clinical protocols required in the ABA network.
Contact Us
Questions for the ABA Utilization Management Team
Call the Customer Service number on the back of the Member ID card or forward your questions to: tn_medicaid_aba@uhc.com
Request to Join the Network
Stephanie Dowell, Director of Provider Relations and Network Strategy, TN – stephanie_dowell@uhc.com
Additional information and forms are available, including psych/neuropsych testing guidelines, credentialing plans, and Disability Solutions Manual, on the Provider Express Guidelines/Policies & Manuals and Optum Forms pages.