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Aged, Blind and Disabled Manual Policy Manual Number: 130.005 Section: CHOICES Chapter: TennCare CHOICES in Long-Term Services and Supports August 01, 2024 Division of TennCare 8 a. PACE PACE is a community-based health and social services program whose purpose is to serve the frail elderly residents of Hamilton County. Participants must: i. Be age 55 or older; ii. Meet criteria for Level 1 nursing home care; and iii. Meet financial criteria. The PACE program also provides an adult day care center and covers all medical needs of the individual including, but not limited to, hospitalization and nursing home coverage. b. DDA Waivers Although the DDA HCBS waivers are not a part of the CHOICES program, individuals eligible for a DDA HCBS waiver must meet the non-financial and financial eligibility requirements of an Institutionalized Medicaid category or receive SSI Cash benefits. Medical eligibility (i.e., LOC) is determined by TennCare’s LTSS Unit. There are three DDA waivers for individuals with intellectual disabilities: the Statewide Waiver, Comprehensive Aggregate Cap Waiver, and Self- Determination Waiver. The Department of Disability and Aging serves as the Operational Administrative Agency for the DDA HCBS waivers which are administered under the supervision of TennCare. i. Statewide Waiver The Statewide waiver provides services to Tennessee children under age 6 with developmental delay and adults and children with intellectual disabilities who meet the ICF/IID LOC criteria. ii. Comprehensive Aggregate Cap Waiver The Comprehensive Aggregate Cap (CAC) Waiver, formerly known as the Arlington Waiver, provides services to individuals with intellectual disabilities who are former class members in the United States vs. The State of Tennessee, et al. (Arlington Developmental Center), former class members in the United States vs. the State of Tennessee, et al. (Clover Bottom Developmental Center), individuals discharged from the Harold Jordan Center following a stay of at least 90 days, and individuals transitioned from the Statewide Waiver upon its renewal on January 1, 2020. Individuals eligible under the CAC Waiver have been institutionalized in a public institution, are part of a certified class because they were determined to be at risk of placement in a public institution or require a LOC that would otherwise require placement in an ICF/IID, if they were not receiving services provided under the waiver.