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Optimizing our BlueCare Provider Network

We routinely evaluate our provider networks to make sure we’re delivering access to high-quality care and responsibly managing costs. Through this process, we have identified certain providers that will leave our BlueCare Tennessee network.

Latest updates

Impacted providers

Below is a list of providers who will no longer be participating in the BlueCare network. This list will be updated regularly to reflect the latest information.

Fast Pace Health Urgent Care
Fast Pace Health is an urgent care provider with clinic locations across Tennessee. They will leave our BlueCare networks Dec. 1, 2026. This network change affects BlueCare, TennCareSelect and D-SNP members.

While this is an urgent care provider, some BlueCare members have also chosen Fast Pace as their primary care provider (PCP). Our teams are working to transition these impacted members to new PCPs to ensure continuity of care.

Acorn and Autism Education Therapy Center
These are applied behavior analysis (ABA) providers who serve BlueCare members with autism. Acorn will leave BlueCare networks Feb. 1, 2027, and Autism Education Therapy Center will leave BlueCare networks Feb. 15, 2027. BlueCare, TennCareSelect and D-SNP member service teams are already working with impacted members to help them transition to other ABA providers for continued treatment.

What this means for you

Your benefits, according to your plan details, will not change.

As always, emergency care is covered as in-network, and BlueCare members experiencing a true emergency should always go to the closest emergency facility. A medical emergency is defined as an acute illness or sudden injury that poses an immediate threat to an individual’s life or long-term health.

Other services would be considered out-of-network, but federal protections under the No Surprises Act limit balance billing for emergency care and certain non-emergency services. We encourage our members to seek care from in-network providers so they can make the most of their benefits, and we can help members find providers in their network.

We’ll continue to provide updates on the situation here. If you have additional questions, please call the Member Service telephone number on the back of your ID card for assistance.

Why it matters

Adjusting our BlueCare network helps us manage rising health care costs while maintaining access to high-quality care.

Frequently Asked Questions

For members

For providers

View the full list of providers' most frequently asked questions.

AMG providers offer care at the following facilities:

Baptist Ambulatory Surgery Center
Centennial Surgery Center
Clarksville Eye Surgery Center
Franklin Surgery Center
Northridge Surgery Center
Patient Partners Surgery Center
Southern Joint Surgery Center
St. Thomas Surgery Center of Clarksville
Summit Surgery Center
Summit Medical Center
Sumner Regional Medical Center
Surgery Center of Clarksville
Tennova Healthcare Clarksville
TriStar Centennial Medical Center - Nashville
TriStar Hendersonville Hospital
TriStar Horizon Medical Center
TriStar Skyline Medical Center
TriStar Summit Medical Center
Williamson Medical Center

Frequently Asked Questions

We’re committed to keeping you up to date on the latest information. Below are answers to your most commonly asked questions. Some of the terms we’ve used below may not be familiar. We’ve compiled a glossary of terms to help explain what each of the elements means.

The Situation

One of the most important things we can do for our members and customers is to help manage the rising costs of health care. Moving to the CareCentrix durable medical equipment network is one way we’re slowing cost increases while making sure members have access to care.

For our Commercial members, using an in-network CareCentrix medical equipment provider will result in significant cost-savings and keep their out-of-pocket costs as low as possible.

Yes, if you have Marketplace coverage or a BlueCare^SM, TennCareSelect, CoverKids or BlueCare Plus Tennessee plan, you must use an in-network provider. Your benefits don’t cover out-of-network providers or services. We’ll connect you with a new DME provider in the new network.
For Commercial, FEP and Medicare Advantage members, if your current provider doesn’t join the CareCentrix network, you can continue seeing them; but you’ll have to pay more for your care because your provider will no longer be in network. Getting your supplies from an in-network durable medical equipment provider is the most cost-effective way to get the services you need.

Your Care

Our members will still get the durable medical equipment supplies they need. In some cases, they may come from a different in-network provider, but this won’t affect the care they receive.

For prior authorization (PA) requests, we’ll continue reviewing internally from now until approximately June 1, 2026. CareCentrix (CCX) will review PA requests for all products and lines of business later this year.

Durable medical equipment is a product, not patient care. So, the cost of certain products is often negotiated and can be lower for the same type of DME. For example, a member can get the same nebulizer from one supplier or another. The item is the same, but the cost may be lower depending on where the member gets the product.

Members are getting the same equipment, but at a lower overall cost. This helps us provide members with more cost-effective ways to manage their medical care and lowers overall costs for our group customers.

Doctors and Health Facilities

Our members will still get the durable medical equipment supplies they need. In some cases, they may come from a different in-network provider, but this won’t affect the care they receive.

For prior authorization (PA) requests, we’ll continue reviewing internally from now until approximately June 1, 2026. CareCentrix (CCX) will review PA requests for all products and lines of business later this year.

Durable medical equipment is a product, not patient care. So, the cost of certain products is often negotiated and can be lower for the same type of DME. For example, a member can get the same nebulizer from one supplier or another. The item is the same, but the cost may be lower depending on where the member gets the product.

Members are getting the same equipment, but at a lower overall cost. This helps us provide members with more cost-effective ways to manage their medical care and lowers overall costs for our group customers.

Scheduled Procedures/Ongoing Treatment

Our members will still get the durable medical equipment supplies they need. In some cases, they may come from a different in-network provider, but this won’t affect the care they receive.

For prior authorization (PA) requests, we’ll continue reviewing internally from now until approximately June 1, 2026. CareCentrix (CCX) will review PA requests for all products and lines of business later this year.

Durable medical equipment is a product, not patient care. So, the cost of certain products is often negotiated and can be lower for the same type of DME. For example, a member can get the same nebulizer from one supplier or another. The item is the same, but the cost may be lower depending on where the member gets the product.

Members are getting the same equipment, but at a lower overall cost. This helps us provide members with more cost-effective ways to manage their medical care and lowers overall costs for our group customers.

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