Tennessee is planning to redesign its Medicaid long-term services and supports (LTSS) for individuals with intellectual and developmental disabilities (I/DD) to focus on  independent living and employment as the first and preferred service option for the 1915(c) Home- and Community-Based Services (HCBS) waiver. For the new approach, Tennessee plans to implement Employment and Community First CHOICES, a managed LTSS waiver program focused on promoting and supporting integrated, competitive employment and independent living. The new program is slated to launch in January 2015, with implementation taking place in late 2015 and into 2016 depending on the date . . .
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