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January 27, 2012

Open Line

DIDD Team,
Hope everyone had a good week. Below, are various items I'd like to share:

Developmental Disabilities (DD) Waiver

DIDD will soon be in the planning stages of developing a Home and Community Based Services (HCBS) Waiver for persons with developmental disabilities. We will be working closely with TennCare, providers, and other interested parties. This is a lengthy process subject to state appropriations and pending approval and funding from the Centers for Medicare and Medicaid (CMS). However, DIDD will continue to keep everyone informed of developments as they occur.


If providers choose to use subcontractors for any service approved through the three-way provider agreement, they are required to obtain approval from DIDD prior to entering into the subcontract. Failure to do so could result in possible recoupment and/or sanctions. Information about specific requirements for subcontracting is found in Section D.4 of the current provider agreement. Should you have questions about this area, please contact Julia Jinnette, DIDD Contract Services, at Julia.Jinnette@tn.gov.

State of the State Address

A reminder to everyone Governor Haslam will deliver his annual address on January 30th at 6:00 p.m. CST. To view live coverage, please visit tn.gov/StateoftheState.

DIDD Legislative Update

  • Admissions Review Committee (SB 2226/HB 2364)
  • Universal Do Not Resuscitate Order (SB 2227/HB 2354)
  • HJR 0565 (Naming and Designating "Down Syndrome Awareness Day")

The bills and resolution listed above will be heard before the House Health and Human Resources Committee on Wednesday, February 1st at 12:30 p.m.

  • HB 2294/SB 2403 (Authorizes the issue of hunting licenses to persons who are intellectually disabled, subject to their attending a hunter education course and hunting in the presence of persons who are hunter-education certified and licensed to hunt)

The bill listed above will be heard before the House Conservation Sub-Committee on Tuesday, January 31st at 10:30 a.m.

  • SB 2312/HB 2509 (Sunset Bill, extends DIDD until 2014)

The bill listed above will be heard before the Senate Government Operations Committee on Wednesday, February 1st at 3:00 p.m.

  • HB 2341/SB 2201 (Adopts ADA Standards for Accessible Design as standards to be followed to make a building accessible to those with physical disabilities when constructing or altering a public building)

The bill listed above will be heard before the Senate Commerce, Labor, and Agriculture Committee on Tuesday, January 31st at 1:30 p.m.


VSHP is an acronym for Volunteer State Health Plan, a subsidiary of Blue Cross Blue Shield. VSHP is a Managed Care Organization that provides a nurse case manager to persons with intellectual disabilities that choose this organization as their provider. The program VSHP provides is known as SelectCommunity.

Tennesseans served by DIDD are given the choice to opt-in or out of this service. The movement began with persons served by a former provider in Memphis. Recently, the program was expanded to all waiver recipients in the West Region. Beginning in March 2012, the program will once again expand to persons in the East Region. Under this program, a nurse case manager will oversee and coordinate care of persons. Billing for those who choose SelectCommunity will be done by VSHP directly with TennCare.

Incident Level 2 Tracking System

On January 19th, a new tracking tool was implemented by the DIDD Information Systems Division. This tool known as "IL2" will be used by the Department's Protection From Harm employees to record incidents that occur with persons served by our ICF/IDs, either in community homes or the developmental centers (Clover Bottom and Greene Valley). Before this tool, there were differences across the regions in the manner in which level 2 incidents were tracked. For example, some were tracked in Excel spreadsheets and some within the Incident and Investigation (I&I) system. With this new tool, all level 2 incidents will be tracked in a single system from which data can be extracted using Crystal Reports.

Direct Payments to TennCare

As many of you are aware, effective January 1st, TennCare has taken over responsibility for making direct payments to DIDD providers for all Home and Community Based Services (HCBS) Waiver programs. The first expected payment from TennCare under the new process should take place on or around January 30th. The DIDD Special Services unit will be the point of contact for any issues or questions related to this payment process and can be reached via e-mail at DIDD_Monthly.PRA@tn.gov.

DIDD Advisory Council

The Council will meet February 2nd from 10:00 a.m. to 2:00 p.m. at 220 French Landing in the Tennessee Room. This meeting is open to the public, but seating is limited.

New Employee

DIDD is pleased to announce Dr. Elizabeth (Busy) Gray has recently joined the West Tennessee Resource Center. Her primary responsibility will be in the area of psychiatric services. In her role, she will work closely with persons in the waiver, community, and Circles of Support. Dr. Gray brings a wealth of knowledge and expertise to this position. She previously was a contract clinician in the Medical Specialty Clinic at Arlington Developmental Center. Most recently, she worked for Value Options as a peer reviewer. We are excited to have her as a member of the DIDD team.

Supported Employment Survey

In the January 13th edition, I announced DIDD would be issuing a supported employment survey the week of January 16th. Unfortunately, the survey was delayed. We apologize for any inconvenience this may have caused. However, this week DIDD Information Systems (IS) sent surveys to nearly 160 providers and ISC agencies. I appreciate their expertise in developing this process. I'd like to reiterate the survey's purpose is to understand both the barriers and opportunities related to employment. We hope you will take time to participate. If you have any questions, please contact Julie Huber at julie.huber@tn.gov or 615-532-6540.

Have a safe and enjoyable weekend.