TENNESSEE · BEHAVIORAL HEALTH

Selling a behavioral health practice in Tennessee

Tennessee's Department of Mental Health and Substance Abuse Services licenses behavioral health facilities and services, and changes go through its licensing forms, so confirm early how your deal structure is treated. Behavior analysts have been licensed through the Applied Behavior Analyst Licensing Committee since 2014, and TennCare covers ABA for eligible children with autism.

Akim Guennani

By Akim Guennani, Founder · Updated October 2026

Tennessee behavioral health at a glance

Behavioral health facilitiesLicensed by TDMHSAS under Title 33
Ownership changesReported through TDMHSAS licensing forms; confirm treatment with counsel
Behavior analystsLicensed via the Applied Behavior Analyst Licensing Committee (since 2014)
Medicaid ABACovered by TennCare for eligible children with autism

TDMHSAS licensing

TDMHSAS licenses mental health and substance use facilities and services in Tennessee under Title 33 and its rules, and it publishes the licensing forms providers use to report changes, including a change of status form. How a particular sale is treated, and whether the buyer needs a new license, depends on the structure and the services involved, so settle it with counsel and the department before signing.

Buyers will look at each licensed service and site, recent inspections, and documentation supporting level of care and billing.

ABA therapy: licensure and TennCare

Tennessee created the Applied Behavior Analyst Licensing Committee in 2014 to license and regulate behavior analysts, and its chair sits on the Board of Examiners in Psychology. Buyers check every analyst's Tennessee license alongside BACB certification.

ABA is a covered benefit through TennCare managed care plans and CoverKids for eligible children, typically with an autism diagnosis and prior authorization. Buyers look at your mix of TennCare plan and commercial revenue and how authorizations have trended.

What Tennessee buyers underwrite

These items move price the most in Tennessee.

Licensing path
How TDMHSAS treats the deal and the timing of any new license.
Clinician licensure
Tennessee licenses for analysts, therapists, and prescribers.
Payer contracts
TennCare plans and commercial contracts in the practice's name.
Documentation
Authorizations and treatment records that support billing.

Sources

Rules change. This page summarizes public sources as of the review date and is educational, not legal, tax, or regulatory advice. Confirm licensing and change of ownership steps with counsel and the relevant state agency before signing.

  1. 1. Licensing forms (Tennessee Department of Mental Health and Substance Abuse Services)
  2. 2. About the applied behavior analyst licensing committee (Tennessee Department of Health)
  3. 3. Tennessee ABA utilization management guideline update (Amerigroup Tennessee)

Reviewed October 2026

Questions Tennessee owners ask

Straight answers, before you commit to anything.

Does a buyer need a new TDMHSAS license?+

It depends on the deal structure and services. Report changes through TDMHSAS licensing forms and confirm the treatment of your transaction with counsel and the department before signing.

Does Tennessee license behavior analysts?+

Yes. The Applied Behavior Analyst Licensing Committee, created in 2014, licenses behavior analysts in Tennessee.

Does TennCare cover ABA?+

Yes, through TennCare managed care plans and CoverKids for eligible children, typically with an autism diagnosis and prior authorization.

How long does a Tennessee behavioral health sale take?+

Typically 90 to 150 days from first buyer conversation to close, depending on licensing and payer credentialing.

Confidential inquiry

Tell us about your practice.

Everything you send stays between us. We never list or shop a practice, and nothing goes to a buyer without your explicit approval. There is no cost to you at any stage.