Tennessee

Tennessee has switched to a unified program for people of all ages with intellectual or developmental disabilities, the Employment and Community First CHOICES program, which is part of its 1115 demonstration waiver, TennCare II. Their three previous Medicaid waivers are not currently enrolling and will be phased out over the next year, as all applicants are being processed through the new program.

While in theory parent income is not considered for children who meet a certain level of institutional care in the Employment and Community First CHOICES program, we have numerous reports from families of children with disabilities that they have not been allowed to participate in the program.

Advocacy Organizations in Tennessee:

Last updated 1/22/19

Programs in Tennessee

EMPLOYMENT AND COMMUNITY FIRST CHOICES
  • Target Population: Children and adults with developmental and intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Eligibility is based on the child's income only if the child requires a nursing home level of institutional care. However, families have reported that they are repeatedly being turned down by this program.
  • Waiver Type: Processed through an 1115 waiver
  • Spots: unknown
  • Expiration Date: 6/30/2021
  • Description: Integrated Employment Path Services, Community Integration Support Services, Independent Living Skills Training, Community Transportation, Assistive Technology, Adaptive Equipment and Supplies, Minor Home Modifications, Respite, Supportive Home Care, Family Caregiver Stipend, Family Caregiver Education and Training
  • Online State Information: Employment and Community First CHOICES
  • Official Federal Information
  • How to Apply: Follow the instructions based on your program on this page.
  • Waiting List: There are 5813 people with developmental disabilities on Tennessee's waiting list.
SELF-DETERMINATION

This waiver is no longer enrolling applicants and is being phased out. Apply through Employment and Community First CHOICES.

  • Target Population: Children and adults with developmental and intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Unknown, but we believe the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: not enrolling
  • Expiration Date: 12/31/2022
  • Description from medicaid.gov: Provides respite, nursing, nutrition, OT, PT, specialized medical equipment and supplies and assistive technology, speech/language/and hearing, adult dental, behavior services, behavioral respite, day services, emergency assistance, environmental accessibility mods, individual transportation, orientation and mobility services for impaired vision, personal assistance, PERS, semi-independent living services for individuals with IID (ages 0 - no max age) and DD (ages 0-5).
  • Online State Information: Self Determination Waiver
  • How to Apply: No longer enrolling applicants
  • Waiting List: NA
COMPREHENSIVE AGGREGATE CAP

This waiver is no longer enrolling applicants and is being phased out. Apply through Employment and Community First CHOICES.

  • Target Population: Children and adults with intellectual disabilities who have been identified by the state as a former member of the certified class in the United States vs. State of Tennessee, et al. (Arlington Developmental Center), a current member of the certified class in the United States vs. the State of Tennessee, et al. (Clover Bottom Developmental Center), or an individual transitioned from the Statewide Waiver upon its renewal, because he or she was identified by the state as receiving services in excess of the individual cost neutrality cap established for the Statewide Waiver.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Unknown, but we believe the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: not enrolling
  • Expiration Date: 12/31/2019
  • Description from medicaid.gov: Provides residential habilitation, respite, support coordination, nursing services, nutrition services, OT, PT, specialized medical equipment and supplies and assistive technology, speech/language/and hearing services, behavior services, day services, dental services, environmental accessibility mods, family model residential support, individual transportation, intensive behavioral residential services, medical residential services, orientation and mobility services for impaired vision, personal assistance, PERS, supported living, transitional case management, vision services for individuals with ID, ages 0 - no max age.
  • Online State Information: Comprehensive Aggregate Cap Waiver Program
  • How to Apply: No longer enrolling applicants
  • Waiting List: NA
STATEWIDE HCBS WAIVER

This waiver is no longer enrolling applicants and is being phased out. Apply through Employment and Community First CHOICES.

  • Target Population: Children and adults with developmental or intellectual disabilities.
  • Ages: all ages
  • Levels of Care: Intermediate Care Facility
  • Income Waiver: Unknown, but we believe the waiver is based on the child's income only.
  • Waiver Type: 1915(c)
  • Spots: not enrolling
  • Expiration Date: 12/31/2019
  • Description from medicaid.gov: Provides residential habilitation, respite, support coordination, nursing services, nutrition services, OT, PT, specialized medical equipment and supplies and assistive technology, speech/language/and hearing services, adult dental, behavior services, behavioral respite, day services, environmental accessibility mods, family model residential support, individual transportation, intensive behavioral residential services, medical residential services, orientation and mobility services for impaired vision, personal assistance, PERS, supported living, transitional case management for individuals with DD (ages 0 - 5+, and with IID (ages 0 - no max age).
  • Online State Information: Statewide Waiver Program
  • How to Apply: No longer enrolling applicants
  • Waiting List: NA