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:
- Home and Community Based Services Waiver for Persons with Mental Retardation (Arlington Waiver).
- Home and Community Based Services Waiver for the Mentally Retarded and the Developmentally Disabled (Statewide Waiver).
- 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 |
Governor Bill Haslam
