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TN Self-Determination Waiver Program

Published on
December 19, 2023
Last updated
April 19, 2024
Written by
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Katie Wilkinson
Reviewed by
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The TN Self-Determination Waiver Program provides services to individuals with intellectual disabilities ages 0 or older and individuals with developmental disabilities ages 0-5 years who meet an ICF/IID level of care.
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Overview of Tennessee Self-Determination Waiver Program

The Tennessee Self-Determination Waiver Program, a Medicaid initiative, supports children and adults with intellectual disabilities and developmental delays. It aims to prevent institutionalization by offering community-based services and enhancing independence and integration. The program empowers participants to manage their services, encouraging personal goal alignment and self-directed care within a defined budget.

Eligibility Requirements

Applicants must meet specific criteria to be eligible for the Tennessee Self-Determination Waiver Program. These include having an intellectual disability or developmental delay (for children under six), residing in Tennessee, and requiring a level of care typically provided in an Intermediate Care Facility. Financial criteria align with Medicaid standards, with income and resource limits set by state regulations.

Services and Supports

The Tennessee Self-Determination Waiver Program offers various services to support children and adults with intellectual disabilities and developmental delays. These services include:

  1. Personal Assistance
  2. Respite Care
  3. Community Living Supports
  4. Employment Services
  5. Behavior Support
  6. Supported Employment Individual-Discovery
  7. Supported Employment Individual-Exploration
  8. Supported Employment Individual-Job Coaching
  9. Supported Employment Individual-Job Development
  10. Supported Employment Individual-Benefits Counseling
  11. Community Participation Facility-Based Day and Intermittent Employment
  12. Community Integration Wraparound
  13. Enabling Technology
  14. Specialized Medical Equipment Supplies & Assistive Technology

These services aim to foster community living, support employment, and enhance quality of life. Each service is tailored to individual needs and established through a person-centered planning process.

Compensation for Caregivers

Under the participant-direction option, beneficiaries can choose their caregivers for certain services. Caregivers must adhere to program guidelines and complete necessary documentation. Compensation rates and procedures align with state standards, ensuring fair remuneration for provided care.

Limitations and Challenges

While the program offers extensive support, it faces limitations like budget constraints and service availability variations across regions. These factors may affect the accessibility and consistency of care for all eligible individuals.

A Note from Givers

If you or someone you know might benefit from the Tennessee Self-Determination Waiver Program, fill out our form to check eligibility for compensation and support. It's a step towards empowered, community-based care.

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