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Self Determination Waiver Program

Self-Determination Waiver

The Self-Determination Waiver (0427.R03) offers supports to children and adults with intellectual disabilities and children under age six with developmental delay who qualify for and, absent the provision of services provided under the Self-Determination waiver, would require placement in a private ICF/IID.

The Self-Determination Waiver Program affords people the opportunity to directly manage selected services, including the recruitment and management of service providers. Participants and families (as appropriate) electing self-direction are empowered and have the responsibility for managing, in accordance with waiver service definitions, a self-determination budget affording flexibility in service design and delivery. The Self-Determination Waiver Program serves persons who have an established non-institutional place of residence where they live with their family, a non-related caregiver or in their own home and whose needs can be met effectively by the combination of waiver services through this program and natural and other supports. The Self-Determination Waiver does not include residential services such as supported living, with the exception of Semi-Independent Living services.

The Self-Determination Waiver offers a continuum of services that are selected by the person pursuant to a person-centered planning process and support each person’s independence and full integration into the community, including opportunities to seek employment, 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 Independent Support Plan.

The Department of Intellectual and Developmental Disabilities (DIDD) serves as the Operational Administrative Agency for this waiver, which is administered under the administrative oversight of TennCare.

The following waiver services are available based on assessed participant need:

  • Adult Dental Services
  • Behavior Services
  • Behavioral Respite Services
  • Community Participation Supports
  • Environmental Accessibility Modifications
  • Facility-Based Day Supports
  • Individual Transportation Services
  • Intermittent Employment and Community Integration Wrap-Around Supports
  • Non-Residential Homebound Support Services
  • Nursing Services
  • Nutrition Services
  • Occupational Therapy Services
  • Orientation and Mobility Services for Impaired Vision
  • Personal Assistance
  • Personal Emergency Response Systems
  • Physical Therapy Services
  • Respite
  • Semi-Independent Living Services
  • Specialized Medical Equipment & Supplies & Assistive Technology
  • Speech, Language, & Hearing Services
  • Supported Employment-Individual
    • Exploration
    • Discovery
    • Job Development
    • Job Coaching
  • Supported Employment-Small Group