Employment and Community First CHOICES
Tennessee's current pathway for employment, independent living and community supports for people with I/DD.
Official resource →NEUROCOACH CURATED · VERIFIED 2026-10-07
Tennessee
Tennessee's primary pathway for new I/DD long-term services enrollment is Employment and Community First CHOICES (ECF CHOICES), administered through TennCare managed care. The older 1915(c) waivers are generally closed to new enrollment except limited categories.
Important: Do not start with the older Tennessee I/DD waiver list if applying for services now. New enrollment is generally routed through ECF CHOICES, and limited funding means not everyone can enroll immediately.
TennCare Long-Term Services & Supports
Official long-term services and supports information and eligibility pathways.
Official resource →Tennessee Vocational Rehabilitation
State VR services, rehabilitation centers and employment support.
Official resource →Tennessee Technology Access Program
Statewide device demonstration, loan, reuse and funding-assistance program.
Official resource →ABLE TN
Tennessee's ABLE savings program.
Official resource →Tennessee Disability Pathfinder
Statewide disability-resource navigation and referral.
Official resource →NAMI Tennessee
Family/peer mental-health support and local affiliates.
Official resource →Programs, eligibility, waitlists and covered services can change. NeuroCoach links to the administering agency wherever possible and uses these pages as navigation—not as a determination of eligibility or benefits.