• Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) in Tennessee provide 24/7 specialized residential care and active treatment for people with intellectual and/or developmental disabilities (IDD). These services have been provided in Tennessee by private community ICF providers since the 1990s.

  • Currently, all 50 States offer ICF Residential Services with more than 100,000 people supported nationwide.

  • In Tennessee, legislation limits the number of possible ICF beds to 804. Most ICF service providers operate at or near capacity.

  • No, the current number of ICF homes in Tennessee is limited. There will not be any more ICF homes created because they were established when Tennessee was closing its large institutions.

Introduction

The State of Tennessee offers a spectrum of services to support individuals with intellectual and developmental disabilities (IDD), including Intermediate Care Facilities (ICF) for people with IDD and Home and Community Based Services (HCBS) waiver programs. Most people needing residential support live in an HCBS waiver-funded home, either funded by the Employment and Community First (ECF) CHOICES waiver or the Department of Disabilities and Aging (DDA) waiver. The DDA waiver is often called the 1915(c) waiver because it is administered under the authority of Section 1915(c) of the Social Security Act.

Thousands of individuals in Tennessee currently receive funding from a 1915(c) waiver but it is closed to new admissions. All new admissions admit through ECF CHOICES. Sometimes HCBS support is not sufficient for an individual’s needs, and that person can be better supported in an ICF Home because ICF offers the most comprehensive level of services of all State programs, and its funding is not subject to the uncertainty of the State’s annual budget processes. The cost of the program is zero for the family, assuming the individual meets the requirements and is already on Medicaid.

Contact us

Interested in working together? Fill out some info and we will be in touch shortly. We can’t wait to hear from you!