CHOICES 101

Need a brush-up on CHOICES? Here’s a review of the basics.

Tennessee's CHOICES program includes nursing facility services and home and community-based services (HCBS) for adults 21 years of age and older with a physical disability and seniors (age 65 and older). TennCare CHOICES in Long-Term Services and Supports (LTSS) (or CHOICES for short) is TennCare’s program for adults (age 21 and older) with a physical disability and seniors (age 65 and older). LTSS offers help doing everyday activities that you may no longer be able to do for yourself as you grow older, or if you have a physical disability, LTSS can assist you with things like bathing, dressing, getting around your home, preparing meals, or doing household chores. LTSS includes care in a nursing home, as well as certain services to help a person remain at home or in the community. These are called Home and Community Based Services or HCBS. MORE 

There are three CHOICES groups: CHOICES Group 1 is for people of all ages who receive nursing home care. CHOICES Group 2 is for adults (age 21 and older) with a physical disability and seniors (age 65 and older) who qualify to receive nursing home care, but choose to receive home care services instead. CHOICES Group 3 is for adults (age 21 and older) with a disability and seniors (age 65 and older) who don’t qualify for nursing home care, but need a more moderate package of home care services to delay or prevent the need for nursing home care. 

To qualify for and remain in CHOICES Group 3, you must:

  • Be “at risk” of needing the level of care provided in a nursing home unless you receive home care; AND
  • Be getting SSI (Supplemental Security Income) payments from the Social Security Administration

Learn more about qualifying for CHOICES.

This infographic provides a nice overview of the CHOICES program. 

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