What Is the TennCare Terminated Provider List (TTPL)?
The TTPL is Tennessee's own exclusion database — separate from OIG and SAM.gov — and many home care agencies don't realize they're required to check it. Here's what it is and why it matters.
Most Tennessee home care agency owners know about the OIG exclusion list. Many have heard of SAM.gov. But the TennCare Terminated Provider List — the TTPL — is the one that catches agencies off guard during surveys.
It's Tennessee's own exclusion database, maintained by TennCare's Program Integrity division, and it contains individuals and entities that have been terminated from participation in Tennessee's Medicaid program specifically. Checking OIG and SAM.gov without checking the TTPL leaves a gap — and TennCare surveyors know it.
What Is the TTPL?
The TennCare Terminated Provider List (TTPL) is an official database maintained by the Tennessee Division of TennCare, Bureau of TennCare, Program Integrity division. It contains providers — individuals and organizations — who have been terminated from participation in TennCare for reasons including:
- Fraud, waste, or abuse findings
- License revocation or surrender
- Exclusion from other federal or state healthcare programs
- Failure to meet TennCare program requirements
- Credentialing or quality of care issues
Unlike OIG and SAM.gov, which are federal databases, the TTPL is specific to Tennessee's Medicaid program. A person can appear on the TTPL without being on the federal lists — which is exactly why all three need to be checked.
📋 Key point: Someone can be terminated from TennCare and appear on the TTPL without appearing on OIG LEIE or SAM.gov. Checking only the federal lists is not sufficient for TennCare compliance.
How the TTPL Differs from OIG and SAM.gov
Here's how the three required databases compare:
The TTPL is updated on a monthly basis by TennCare's Program Integrity team. Unlike the OIG file — which is a large downloadable CSV — the TTPL is distributed as an official document from TennCare and must be obtained and checked separately.
Who Is Required to Check the TTPL?
Any provider enrolled in TennCare — including home care agencies, DSP agencies, personal care organizations, and their employees — is required to screen against the TTPL as part of their monthly compliance process.
This requirement applies to:
- Home Health Agencies (HHAs)
- Developmental Services Providers (DSPs)
- Personal Care Organizations (PCOs)
- Adult Day Care providers
- Other providers enrolled in TennCare-funded waiver programs
The check must cover not just the agency itself, but every individual employee who provides services to TennCare beneficiaries.
⚠️ Survey finding risk: Agencies that check OIG and SAM.gov but skip the TTPL are still out of compliance. This is a common gap that TennCare surveyors specifically look for because it's so frequently missed.
How Often Is the TTPL Updated?
The TTPL is updated monthly by TennCare's Program Integrity division. Because it changes every month, a check performed at hire is not sufficient — agencies must re-check every employee against the current TTPL every month.
The key compliance requirement is that checks are performed against the current month's version of the TTPL, and that the documentation reflects which version was used. This is why source file documentation — saving the exact TTPL file used for each month's check — is important for survey readiness.
What Happens If You Employ Someone on the TTPL?
If a TennCare survey discovers that your agency employed someone listed on the TTPL, the consequences can include:
- Repayment of all TennCare claims submitted while the excluded individual was employed
- Corrective action plan requirements
- Increased oversight and follow-up surveys
- In severe cases, termination from the TennCare program
The repayment risk is particularly significant because it applies retroactively — going back to the date the person appeared on the TTPL, regardless of when you discovered it.
How to Check the TTPL
The manual process involves obtaining the current TTPL file from TennCare, then cross-referencing each employee's name against the list. Like OIG and SAM.gov, this needs to be done monthly for every employee.
The documentation burden is the same: you need to record the date of the check, the version of the TTPL used, and the result for each employee. For agencies managing more than a handful of staff, this becomes a significant monthly administrative task.
ClearCheckTN automates TTPL checks alongside OIG and SAM.gov. Upload your employee list once and all three checks run simultaneously — with the TTPL filename and date documented automatically in the monthly compliance report.
Check OIG, SAM.gov, and TTPL in one upload
Stop checking three databases separately. ClearCheckTN runs all three checks simultaneously and generates a survey-ready PDF report — starting at $149/month.
Frequently Asked Questions
Is the TTPL the same as the OIG exclusion list?
No. The OIG LEIE is a federal database maintained by the U.S. Department of Health and Human Services covering all Medicare and Medicaid programs nationally. The TTPL is Tennessee-specific, maintained by TennCare's Program Integrity division, and covers terminations from Tennessee's Medicaid program only. Someone can appear on one without appearing on the other.
Where can I get the TTPL?
The TTPL is published by the Tennessee Division of TennCare and updated monthly. It can be obtained through TennCare's Program Integrity resources. ClearCheckTN maintains and checks against the current TTPL automatically as part of the monthly screening process.
Do I need to check the TTPL for contractors, not just employees?
Yes. The TTPL check requirement generally applies to anyone providing services to TennCare beneficiaries under your agency — including contractors and temporary staff. Consult your specific program requirements for details.
How do I document TTPL checks for a survey?
Documentation should include the employee name, the date of the check, the version of the TTPL used (typically identified by the date of the file), and the result. A monthly PDF report showing all three databases checked — OIG, SAM.gov, and TTPL — with source file documentation is the most defensible format.
What if someone shows up on the TTPL?
Do not allow them to provide services to TennCare beneficiaries while the match is under review. Verify the match carefully — name matches can occasionally be coincidental. If the match is confirmed, remove the individual from TennCare-funded work immediately and consult your compliance officer or legal counsel about next steps and disclosure obligations.