Benefits · Home Care
How to apply for OPTIONS for Community Living (Non-Medicaid In-Home Support)
Tennessee Department of Disability and Aging — delivered through the Area Agencies on Aging & Disability
Who it's for
OPTIONS is Tennessee's state-funded (non-Medicaid) home and community based services program. It provides homemaker services, personal care, and home-delivered meals to help adults with physical or cognitive disabilities stay in their own home. There is no income limit — a sliding fee based on income applies. Contact your Area Agency on Aging & Disability.
OPTIONS is non-Medicaid, needs-based support (distinct from TennCare CHOICES, which is Medicaid long-term care). The tn.gov page states eligibility as age 18+ with ADL/IADL limitations; it primarily serves older adults and adults with physical/cognitive disabilities (excluding intellectual disability). There is no income limit, but a sliding fee based on income applies. Services vary by region and may have waitlists.
What you'll need
- No documents required to start — contact your local Area Agency on Aging & Disability for an assessment
Where to apply
Apply online: official application
By phone: 1-866-836-6678
What to say when you call
“Hello, I'm calling to ask about OPTIONS for Community Living (Non-Medicaid In-Home Support). I'd like to know whether I may qualify, what documents I need, and whether I can apply online, by mail, by phone, or in person. I understand I may need no documents required to start — contact your local area agency on aging & disability for an assessment — is anything else required? What is the best next step?”
Tip: have a pen ready, ask for the person's name, and write down any case or reference number they give you.
Renewals
annual
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.