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Tenn. Comp. R. & Regs. 1200-13-01-.05 - TennCare CHOICES Program (Person-Centered Plan of Care content requirements)

TennesseeregulationTennessee Division of TennCare (Bureau of TennCare)· effective 2025-10-05

What this rule requires your agency to do

  • 1The plan of care must specify the amount (e.g., minutes, hours) of paid assistance necessary to provide the identified assistance. (1200-13-01-.05(6)(e))(Tenn. Comp. R. & Regs. 1200-13-01-.05 - TennCare CHOICES Program (Person-Centered Plan of Care content requirements))
  • 2CHOICES HCBS must be specified in an approved person-centered plan of care and authorized by the MCO prior to delivery of services. (1200-13-01-.05(8)(e))(Tenn. Comp. R. & Regs. 1200-13-01-.05 - TennCare CHOICES Program (Person-Centered Plan of Care content requirements))
  • 3The plan of care must specify the frequency with which each assistance task must be performed. (1200-13-01-.05(6)(e))(Tenn. Comp. R. & Regs. 1200-13-01-.05 - TennCare CHOICES Program (Person-Centered Plan of Care content requirements))
  • 4The plan of care/support plan must specify the tasks and functions for which the member (Applicant) needs assistance. (1200-13-01-.05(6)(e))(Tenn. Comp. R. & Regs. 1200-13-01-.05 - TennCare CHOICES Program (Person-Centered Plan of Care content requirements))
  • 5The plan of care must document the member's need for safety monitoring and supervision. (1200-13-01-.05(6)(e))(Tenn. Comp. R. & Regs. 1200-13-01-.05 - TennCare CHOICES Program (Person-Centered Plan of Care content requirements))

Applies to: Home and community-based services / personal care (personal care visits, attendant care, community living supports) furnished under a person-centered plan of care

Under the TennCare CHOICES program rules, HCBS/personal care services must be furnished pursuant to an approved, person-centered plan of care (POC). The POC must identify the specific tasks and functions for which the member needs assistance, the frequency of those tasks, the member's need for safety monitoring/supervision, and the amount of paid assistance needed. CHOICES HCBS must be specified in the approved POC and authorized by the MCO before delivery.

Regulatory information, not legal advice — always confirm against the cited official source. Verification reduces error; it does not certify compliance.