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Waiver Reform

The Department of Intellectual and Developmental Disabilities and TennCare have released a concept paper about the future of the state's Home and Community Based Waivers for people with intellectual disabilities.  The concept paper is below, along with summaries of the concept paper for people currently receiving waiver services and people who are waiting to receive services.

In June 2014, DIDD and TennCare held community forums about the Concept Paper in all three regions.  The presentations are below, as well as questions and answers that came up at the meetings.

Employment and Community First CHOICES

In June 2015, the state submitted Amendment 27 to the Center for Medicare and Medicaid Services.  It requests federal authority to implement the new Employment and Community First CHOICES Program.  This program will support persons with intellectual and developmental disabilities in achieving employment and independent community living to the maximum extent possible.

Comments regarding the documents below can be emailed to  We ask that you clearly identify the document you are commenting on (Amendment or Attachment G), the page number of that document and the specific paragraph or item.  If a person needs assistance to submit comments on these document, they can call the TennCare LTSS Help Desk at 1-877-224-0219 between 8:00 a.m. and 4:30 p.m. Central time.  Someone will be happy to help them submit their comments.

Amendment 27 ECF CHOICES

ECF CHOICES Presentation for Consumers and Families