Notice of Change in TennCare II Demonstration: Amendment 37
~~Amendment 37 also includes a number
of other adjustments to ECF CHOICES based on learnings from the first two years of the program’s implementation. The other
changes to the ECF CHOICES program proposed in Amendment 37 are:
•Modifying the Expenditure Caps for the existing ECF CHOICES Groups 5 and 6. These modifications will give the State additional flexibility to target services based on a person’s identified needs and will enhance access to Supported Employment and/or Individual Employment Support benefits.
•Expanding the existing exception for persons who are transitioning into ECF CHOICES Group 6 from one of the State’s 1915(c) waiver programs and who are “at risk” of institutionalization to also apply to persons who are transitioning into ECF CHOICES from an Intermediate Care Facility
for Individuals with Intellectual Disabilities.
•Clarifying that a person who meets the nursing facility level of care criteria may be enrolled in ECF CHOICES Group 5 so long as the person’s needs can be safely met in Group 5.
•Modifications and clarifications to certain ECF CHOICES service definitions.
- Home and Community Based Services (HCBS)