---
title: "Tennessee Home Care Medicaid | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/tennessee/home-care-medicaid/
description: "CHOICES offers HCBS through Group 2 and at-risk Group 3, where available funding slots can matter."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Tennessee · Home & Community Care

# Tennessee Home Care Medicaid

Last updated 2026-10-20

CHOICES doesn't just pay for nursing-facility stays — it also funds qualifying long-term services and supports delivered in a person's home or community. Group 2 within CHOICES serves adults with physical disabilities age 21 or older, plus people 65 or older, who qualify for nursing-facility-level care but choose home- and community-based services instead.

Group 3 works differently: it's designed for adults and older people who are at risk of needing nursing-facility level of care, where receiving home care is what keeps them from reaching that point. Because slots and funding for Group 3 aren't unlimited, a home-care request should start by confirming the right clinical category rather than jumping straight to a list of desired services.

## Sources and official resources

- [TennCare: CHOICES](https://www.tn.gov/tenncare/long-term-services-supports/choices.html)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Tennessee guide](https://fundingltcmarketplace.com/states/tennessee/)