Tennessee Self-Determination Waiver Program TN.0427.R03.01


State Policies & Initiatives: 
Medicaid & Employment

~~“The primary purpose of this amendment is to revise the Service Specification for “Employment and Day Services” to separate the service category into distinct employment and day service types with separate service specifications, provider qualifications and reimbursement/rate structures in order to provide increased choice and flexibility for waiver participants, align incentives toward competitive integrated employment and community participation, and increase transparency with respect to the types of day services provided as well as payment for those services, as part of Tennessee’s approved Statewide Transition Plan for compliance with the HCBS Settings Rule.  Proposed changes include:

Establishing Supported Employment-Individual Employment Support, Supported Employment-Small Group Employment Support, Community Participation Supports, Facility-Based Day Supports and Intermittent Employment and Community Integration Wraparound Supports as separate services.”

  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: