Statewide Waiver Program
The Statewide Waiver (0128.R05) serves adults with intellectual disabilities and children under age six with developmental delay who qualify for and, absent the provision of services provided under the Statewide Waiver, would require placement in a private Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID).
The Statewide Waiver offers a continuum of services that are selected by each person supported pursuant to a person-centered planning process and support each person’s independence and full integration into the community, including opportunities to seek employment and work in competitive integrated settings and engage in community life. Services are delivered in a manner which ensures each individual’s rights of privacy, dignity, respect and freedom from coercion and restraint; optimizes individual initiative, autonomy, and independence in making life choices; and are delivered in a manner that comports fully with standards applicable to HCBS settings delivered under Section 1915(c) of the Social Security Act, including those requirements applicable to provider-owned or controlled homes, except as supported by the individual’s specific assessed need and set forth in the person-centered Individual Support Plan.
The Department of Intellectual and Developmental Disabilities (DIDD) serves as the Operational Administrative Agency for this waiver, which is administered under the oversight of the Bureau of TennCare.
To enroll in this program, the participant must:
a. Meet TennCare ICF/IID level of care criteria (TennCare Rule 1200-13-1-.15) and financial eligibility criteria and have a Pre-Admission Evaluation approved by TennCare; AND
b. Have been assessed and found to:
i. Have an intellectual disability manifested before eighteen (18) years of age, as specified in Tennessee State law (Tennessee Code Annotated, Title 33-1-101); OR,
ii. Have a developmental disability, which is defined as a condition of substantial developmental delay or specific congenital or acquired conditions with a high probability of resulting in an intellectual disability and be a child five (5) years of age or younger.
If you qualify for care in an ICF/IID, you will have the right to choose between care in the home and institutional ICF/IID care. If you choose to receive HCBS waiver program services in the home, you will still be eligible to receive your regular TennCare benefits. The following waiver services are available based on assessed participant need:
- Adult Dental Services
- Behavioral Respite Services
- Behavior Services
- Employment and Day Services
- Environmental Accessibility Modifications
- Family Model Residential Support
- Individual Transportation Services
- Intensive Behavior Residential Services
- Medical Residential 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
- Semi Independent Living
- Specialized Medical Equipment & Supplies & Assistive Technology
- Speech, Language, & Hearing Services
- Supported Living
- Support Coordination
- Transitional Case Management