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Office of Licensure

The DIDD Office of Risk Management and Licensure functions to protect the interest of tax-paying citizens against unlicensed service providers, unsafe environments, inadequate education and training of personnel, physical and mental abuse and any unscrupulous acts deemed detrimental to the treatment and general welfare of persons with intellectual and developmental disabilities. This also includes those in need of personal support services.


Operating out of three regional offices -one in each grand region of the state, licensure staff:

  • Conduct unannounced inspections and follow-up inspections of licensed facilities
  • Develop the supporting documents needed to issue licenses
  • Ensure reports of abuse and deficiency in operation of a facility or service are investigated
  • Maintain current files and appropriate records for all facilities and services licensed by the department
  • Provide consultation and technical assistance as needed to licensed and proposed programs


To report suspected violations of licensure rules or to submit formal or general complaints about any licensed service or facility, please contact designated Licensure staff as follows:

East Region  Elaine Matthews 423-787-6553 Elaine.C.Matthews@tn.gov
Middle Region Cheryl Jacobs 615-770-1004 Cheryl.B.Jacobs@tn.gov
West Region Gale Carter 731-426-1811 Gale.Carter@tn.gov

Licensure and Review Links