LTSS PROGRAMS
Six programs to support our members
We have a wide variety of programs, which you can learn more about below.
CHOICES
CHOICES providers serve members in nursing facilities, as well as at home or in the community, known as Home and Community-Based Services (HCBS). Find more information about the program, including manuals, training and forms.
Employment and Community First (ECF) CHOICES
ECF CHOICES providers promote and support integrated, competitive employment and independent living as the first and preferred option for members with intellectual and developmental disabilities.
ICF/IID
Intermediate care facilities for individuals with intellectual disabilities (ICF/IID) provide specialized services. These facilities are required to provide active treatment through intensive specialized supports and services to help individuals develop increased skills and independence in functional life areas.
1915(c) Waiver Program
The 1915(c) waivers offer Home and Community-Based Services to people with intellectual disabilities to help them live, work and be involved in their communities. These waivers are closed to new enrollment as of July 1, 2016.
The Katie Beckett Program
This program helps children with disabilities or complex medical needs who don’t qualify for Medicaid. It provides extra benefits to allow their families to meet their child’s needs at home.
SelectCommunity
TennCareSelect members with intellectual and developmental disabilities could be eligible for SelectCommunity, especially if they get services from the Department of Disability and Aging (DDA). This program helps them get the care they need.
WORKFORCE DEVELOPMENT
Addressing staffing gaps and barriers
Health care, like most industries, is experiencing workforce challenges. We're working with the Division of TennCare to address strategy and efforts designed to close staffing gaps and barriers.
LEARN MOREREPORT IT NOW
Reportable Event Management
Reportable event management is an important component to the overall approach for ensuring the health, safety, individual freedom, and quality of life of members in Home and Community Based Services and ICF/IID services.
LEARN MORETOOLS
Find the help you need to serve your patients
Tennessee is home sweet home to you and the individuals you serve. Find the information you need to simplify working with us.
Authorizations & Appeals
Get forms and information to help you request prior authorization or file an appeal.
Coverage & Claims
Find more information about coverage and claims.
Digital Resources
From coverage to claims management, our Availity and eBusiness technical support teams can provide the service you need to streamline operations.
Documents & Forms
For your convenience, we've put these commonly used documents together in one place.
Required Training & Health Equity
We know your time is valuable, so we want to make it easy for you to find helpful resources, including education to fulfill TennCare requirements.
Manuals, Policies & Guidelines
Information about how we deliver member benefits, how we determine medical necessity and other important decisions.