TennCare CHOICES Home- and Community-Based Services (HCBS)
TennCare CHOICES Group 2 provides home- and community-based services (HCBS) to eligible older adults and adults with physical disabilities who need nursing-facility level of care but can safely remain in the community with support. It is administered by the Tennessee Division of TennCare through contracted MCOs.
Services available under HCBS (Group 2)
- Personal care (bathing, dressing, grooming)
- Adult day health services
- Respite care (in-home or short-term facility-based)
- Home-delivered meals
- Minor home modifications for accessibility
- Personal emergency response systems
- Support coordination (care management)
Eligibility
Same financial and clinical thresholds as CHOICES Group 1: nursing-facility LOC, income ≤ $2,982/month, assets ≤ $2,000. Because HCBS operates on a Medicaid waiver with capped enrollment, eligible people may be placed on a waitlist — prioritized by urgency and date of application.
Applying
Apply at TennCare Connect (855-259-0701) or through a local DHS office. The Greater Nashville Regional Council (GNRC) Area Agency on Aging & Disability can also help screen and connect applicants to services.
How it affects placement decisions
Families weighing nursing-facility placement versus staying at home should ask a TennCare counselor or an elder-law attorney whether Group 2 HCBS can delay or prevent placement. For many Nashville metro seniors, a mix of CHOICES-funded hours plus a family caregiver can maintain safe, meaningful life at home for years.
Free help from a local Nashville advisor
Nashville Senior Advisor connects families across Davidson, Williamson, Rutherford, Wilson, Sumner, Maury, Robertson, and Dickson counties with a free local advisor — no fees, ever. We help you understand your options, compare licensed providers, verify TDH and CMS credentials, and coordinate the move. Tell us your situation →
Common questions
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Getting senior-care help in the Nashville metro
If you're starting a senior-care search in the Nashville metro, the process is simpler than it looks. It begins with an honest assessment of what your parent actually needs day to day, followed by a realistic budget and a look at how to fund it — savings, long-term-care insurance, VA Aid & Attendance, or Tennessee's TennCare CHOICES for those who qualify. Only then does it make sense to tour communities, because the care level determines which licensed options can legally serve your parent.
Nashville metro families also have free public resources. The GNRC Area Agency on Aging & Disability (615-255-1010 / 866-836-6678) screens seniors for meals, in-home support, caregiver respite, and benefits counseling. Much of it is free or sliding-scale and doesn't require Medicaid. A single call can unlock several programs at once.
The Tennessee safety net behind your decision
Tennessee licenses and inspects senior care through TDH (Board for Licensing Health Care Facilities) (look up any provider at tn.gov/health), funds in-home and community services through the regional Area Agency on Aging — the GNRC AAAD in the Nashville metro — and covers long-term care for those who qualify through TennCare CHOICES. The Ombudsman and TDH Adult Protective Services safeguard residents. These are the same programs we help families navigate for free.
Why families choose a local Nashville metro advisor
National senior-living websites are essentially lead brokers: enter your information and a dozen communities call you within minutes, whether they fit or not. A local advisor works differently. We focus only on the Nashville metro — Davidson, Williamson, Rutherford, Wilson, Sumner, Maury, Robertson, and Dickson counties — so we know the buildings, the directors, and which providers are genuinely strong for memory care versus assisted living versus Residential Homes for the Aged. We shortlist two or three real fits instead of selling your contact details to the highest bidder.
Both models are free to families, because communities pay a referral fee only when someone moves in. The difference is depth and trust: we verify every option against the TDH license database and CMS Nursing Home Compare, we tell you about good providers that don't pay us, and we stay reachable after the move. That local, lighter-touch approach is why families across the Nashville metro start with us rather than a national 800 number.
Free help from a local Nashville advisor
Nashville Senior Advisor connects families across Davidson, Williamson, Rutherford, Wilson, Sumner, Maury, Robertson, and Dickson counties with a free local advisor — no fees, ever. We help you understand your options, compare licensed providers, verify TDH and CMS credentials, and coordinate the move. Tell us your situation →
What to do next in the Nashville metro
Senior-care decisions rarely improve by waiting, but they don't have to be made in a panic either. The most useful first step is a short, no-pressure conversation that turns a vague worry into a concrete plan: what level of care fits, what it will realistically cost in the Nashville metro, and which licensed communities or services are genuine candidates right now. From there, touring two or three real fits beats wading through dozens of listings.
- Free assessment. A 15-minute call to pin down care needs, budget, and timeline.
- A real shortlist. Two or three TDH-licensed options that actually fit — not a dozen sales calls.
- Hands-on help. We help you tour, compare itemized pricing, and coordinate the move.
- Always free to families. We're paid by the community only if you choose to move in.
Whether you need help this week or are planning months ahead, a free the Nashville metro advisor can save you days of research and a costly mismatch. Tell us what's going on — there's no obligation.