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Medicaid Home and Community Based
Waiver Services (HCBS) Programs

Currently, Tennessee has three (3) waiver programs for people with intellectual disabilities. The three (3) waivers are:

  1. Home and Community Based Services Waiver for Persons with Mental Retardation (Arlington Waiver).
  2. Home and Community Based Services Waiver for the Mentally Retarded and the Developmentally Disabled (Statewide Waiver).
  3. Tennessee Self- Determination Waiver Program.

Table 1. Services Available Through The Medicaid HCBS Waiver Programs

Waiver Service

Statewide Waiver (0128)

Arlington Waiver (357)

Self-Determination Waiver (0427)

Behavior Services

Yes

Yes

Yes

Behavior Respite Services

Yes

Yes

Yes

Day Services

Yes

Yes

Yes

Dental Services (Adult)

Yes

No

Yes

Dental Services Enhanced (Adult)

No

Yes

No

Environmental Accessibility Modifications

Yes

Yes

Yes

Family Model Residential Support

Yes

Yes

No

Financial Administration Entity Services

No

No

Yes

Individual Transportation Services

Yes

Yes

Yes

Intensive Behavioral Residential Support

Yes

Yes

No

Medical Residential Services

Yes

Yes

No

Nursing Services

Yes

Yes

Yes

Nutrition Services

Yes

Yes

Yes

Occupational Therapy

Yes

Yes

Yes

Orientation and Mobility Training

Yes

Yes

Yes

Personal Assistance

Yes

Yes

Yes

Personal Emergency Response System

Yes

Yes

Yes

Physical Therapy

Yes

Yes

Yes

Residential Habilitation

Yes

Yes

No

Respite

Yes

Yes

Yes

Semi-Independent Living Services

No

No

Yes

Specialized Medical Equipment, Supplies, and Assistive Technology

Yes

Yes

Yes

Speech, Language, and Hearing Services

Yes

Yes

Yes

Support Coordination

Yes

Yes

No (uses state-funded case managers)

Supported Living

Yes

Yes

No

Supports Brokerage Services

No

No

Yes

Vision Services

No

Yes

No

.