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Tennessee State Medicaid Waiver Program Application Guide

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  • Tennessee State Medicaid Waiver Program Application Guide

    Waiver Overview:
    Tennessee used to have three Home and Community Based Services Waivers but these were phased out in 2016. Now all applicants must apply for the Employment and Community First CHOICES Waiver in order to receive services. It’s good that the state tried to simplify the process, but they ended up leaving a lot of people without services with the new waiver. You will be able to receive services immediately if you meet any of the criteria on this page. It’s important to note that children are only able to get services quickly if they are in a critical situation. Every other applicant has to wait for limited spots according to their designation on this page.

    Employment and Community First CHOICES

    Who can apply?

    Circumstance/Diagnosis: Any child or adult who is diagnosed with either an intellectual and/or developmental disability (this includes autism) before 18. If the applicant is facing imminent placing into a nursing home they will be able to receive extra resources.

    Income: Income eligibility is only based on the child’s income and not the parents income. This means that your child makes less than $2,349 per month they are eligible for the waiver.

    What do I get?

    Adult Dental Services, Behavior Services, Behavioral Respite Services, Community Participation Supports, Environmental Accessibility Modifications, Facility-Based Day Supports, Family Model Residential Support, Individual Transportation Services, Intermittent Employment and Community Integration Wrap-Around Supports, Medical Residential Services, Non-Residential Homebound Support Services, Nursing Services, Nutrition Services, Occupational Therapy Services, Orientation and Mobility Services for Impaired Vision, Personal Assistance, Personal Emergency Response Systems, Physical Therapy Services, Residential Habilitation, Respite, Semi Independent Living, Specialized Medical Equipment & Supplies & Assistive Technology, Speech, Language, & Hearing Services, Support Coordination, Supported Employment-Individual, Exploration, Discovery, Job Development, Job Coaching, Supported Employment-Small Group, Supported Living, Transitional Case Management

    How do I apply?

    If you have TennCare call your provider number below and say you need help with self referral for the Employment and Community First CHOICES

    Amerigroup 866-840-4991
    BlueCare 888-747-8955
    United Health Care Community Plan 800-690-1606

    If you are not on TennCare call one of these numbers and ask about self-referrals for Employment and Community First Choices

    West Tennessee Regional Office (866) 372-5709
    Middle Tennessee Regional Office (800) 654-4839
    East Tennessee Regional Office (888) 531-9876

    What does the Goally Team Think?

    Tennessee tried to simplify their program, which we appreciate, but their new waiver makes getting resources incredibly difficult for non-adults. The waiver makes getting resources super easy for adults looking for or trying to maintain employment, but by prioritizing this they leave out another portion of the population that also needs those services. Overall, the program just needs more funds so that they don’t have to keep certain demographics on a waitlist.

    Goally Waiver Scorecard

    Website clarity and ease of navigation: 2/5
    Access and requirements of qualification: 1/5
    Healthcare coverage: 3/5

    Other online resources for Tennessee:

    Tennessee Technology Access Program has funding for parents to get assistive technology like Goally
    Autism Tennessee has job postings, family events, and parent to parent coaching opportunities
    Tennessee Disability Pathfinder is a database that connects parents to the autism resources in their area.

    Telephone Resources:

    TennCare general information line -- 1-800-342-3145
    Last edited by Brady; 07-09-2020, 11:48 AM.