CHOICES

Evidence Step: Evidence

Department: TennCare

Priority Area: Strong Families and Communities

Program Description

TennCare CHOICES is for adults aged 21 and older with a physical disability as well as seniors aged 65 and older. CHOICES offers Home and Community Based Services (HCBS) in the home, on the job, or in the community to assist with daily living activities and allow people to work and be actively involved in their local community. CHOICES also provides care in a nursing home if this is needed. Through improved coordination of care and use of more cost-effective home and community-based alternatives, CHOICES expands access to home and community-based services for persons who are “at risk” of needing nursing facility services, thereby delaying or preventing the need for more expensive institutional care.

Learn More on Program Website

Details

Program Demographic: Adults, Aging Adults, Persons with Disability

Delivery Setting: Organization / Business / Local Government

Current Participants: 34,187

Research

Managed Long-Term Services and Supports

Outcomes

Number of older adults and adults with physical disabilities actively receiving Home and Community Based Services over the course of each demonstration year compared to the year prior to implementation

2021: 14,401

2020: 15,159

2019: 15,281

Number of persons who transitioned from nursing facilities to Home and Community Based Services during each demonstration year compared to the year prior to implementation

2023: 7,328

2022: 6,916

2021: 6,411

Outputs

Number of older adults and adults with physical disabilities receiving services in nursing facilities who are able to transition back to the community with Home and Community Based Services

2023: 412

2022: 505

2021: 697

Percent of older adults and adults with physical disabilities receiving Home and Community Based Services as compared to nursing facility care (HCBS)

2023: 40%

2022: 60%

2021: 39%

Percent of older adults and adults with physical disabilities receiving Home and Community Based Services as compared to nursing facility care (nursing facilities)

2023: 60%

2022: 40%

Logic Model

If we provide seniors and adults with physical disabilities with Home and Community Based Services (HCBS), including coordination of care and supports to help them with daily living activities, work, and community involvement, then we will help those individuals remain engaged in communities and delay or prevent the need for more expensive institutional care.