TennCare released the memo on November 2, 2021. It explains the state's plans for using a 10 percentage point increase to the federal Medicaid match rate for home- and community-based services (HCBS) through the Employment and Community First CHOICES waiver. Funding for the plan is through the American Rescue Plan (ARP). The state intends to invest up to $400 million, with $137.5 million to raise wages for direct support professionals delivering HCBS and the remainder to reduce the ECF wait list by creating new waiver slots. This memo discusses the reimbursement change for direct support professionals . . .
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