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IDD Program Integration

The Department of Intellectual and Developmental Disabilities and TennCare jointly announced that all Medicaid long-term services and supports (LTSS) programs for people with intellectual and developmental disabilities (I/DD), including the Section 1915c HCBS waivers, the Employment and Community First CHOICES Program, and Intermediate Care Facility services for Individuals with Intellectual Disabilities (ICF/IID) will, for the first time, be aligned under the direct operational leadership, management and oversight of DIDD.   

The primary goal of this integration will be to finally and fully achieve a single, seamless, person-centered system of service delivery system for people with I/DD that supports them to increase their independence, fully participate in their  communities, and achieve their competitive, integrated employment goals. In addition:

  • This change will allow DIDD to leverage its expertise and passion in supporting people with I/DD to positively impact all Medicaid-funded programs that serve them. 
  • It will enable the person-centered alignment of critical incident management, quality assurance and improvement, direct support workforce training and qualifications, and provider qualifications and enrollment/credentialing processes—reducing administrative burden for providers and minimizing some of the restrictive and burdensome expectations that have resulted from the impact of longstanding litigation. 
  • Further success will be achieved through the use of value-based reimbursement aligned with system values and outcomes that is specifically designed to support independence, integration and competitive integrated employment through the use of effective person-centered planning, enabling technology and the development of natural supports.

By leveraging managed care partnerships the state will yield an estimated $34 million increase in revenues, which will help fill budget gaps without negatively impacting provider rates or services to people and families that may otherwise be necessary in these challenging times.

TennCare will seek approval from CMS for the integration of I/DD services as part of the TennCare waiver renewal process.  While we have no control over the timeline in receiving a decision from CMS we hope to begin implementation on July 1, 2021.  DIDD and TennCare are committed to hearing input from the people, families, providers and other stakeholders as we contemplate modifications to the existing 1915 (c ) waivers and work to design a single, seamless system for persons with intellectual and developmental disabilities.

Additional Resources

Overview of Proposed Amendments and Changes to Integrate and Transform Long-Term Services and Supports (LTSS) for People with Intellectual and Developmental Disabilities (I/DD)

Person-Centered I/DD Program Integration Concept Paper

I/DD Program Integration Frequently Asked Questions

DIDD and TennCare I/DD Integration Letter

Person-Centered IDD Program Integration - Overview

I/DD Integration Family ECF Letter


IDD Integration Overview and Next Steps for Providers and Stakeholders

Friday, October 2nd, from 12 to 1:30 p.m.

Meeting link:
Meeting number (access code): 171 138 1300
Meeting password: DIDD

To receive a callback, provide your phone number when you join the event, or call the number below and enter the access code.
US TOLL +1-415-655-0003
Access code: 171 138 1300


Family-Focused Presentation:

Tuesday, October 13th, from 12 to 1:30 p.m.
Meeting link:
Meeting number (access code): 171 820 8260
Meeting password: DIDD

To receive a call back, provide your phone number when you join the event, or call the number below and enter the access code.
US TOLL +1-415-655-0003
Access code: 171 820 8260