State Profile · Deep
TENNESSEE
D+Last verified 2026-07-03
Deadlines reflect this state’s rules as researched; they can change — always confirm the current deadline with your state agency or Protection & Advocacy office before relying on it.
HOW TO GET SERVICES & APPEAL IN TENNESSEE
How services are run
State agency
Your service plan
Individualized Service Plan (ISP)
Self-direction
Self-Directed Services
If you get denied
Deadline to appeal
60 days from your Notice of Adverse Benefit Determination
Keep services during appeal
File within 10 days
- Receive Notice of Adverse Benefit Determination
- Managed care: MCO reconsideration within 14 days (72 hrs expedited)
- State fair hearing within 60 days for HCBS/ECF CHOICES service appeals
- Hearing before TennCare hearing officer
KEY AGENCIES & RESOURCES
Vocational Rehabilitation
Tennessee Vocational Rehabilitation (Department of Human Services)
NOTABLE WAIVERS
Employment and Community First CHOICES
SourceChildren and adults with IDD; employment-focused HCBS.
Waitlist: Enrollment targets by group; apply through TennCare health plans.
CHOICES in Long-Term Services and Supports
SourceSeniors and adults with physical disabilities.
Waitlist: Entitlement-style for nursing-home-eligible members.
Katie Beckett Program (Part A and Part B)
SourceChildren under 18 with disabilities; parent income disregarded (Part A) or premium-based wraparound (Part B).
Waitlist: Part A capped by budget; Part B broader — apply through TennCare Connect.
