test jan 26

Health

 This page helps individuals with disabilities, families, caregivers, educators, and professionals navigate healthcare supports, insurance, disability-related services, and community health resources in Tennessee.

Health services for individuals with disabilities may include:

  • Primary care (pediatricians, internal medicine, family medicine)
  • Specialists (neurology, endocrinology, gastroenterology, behavioral health)
  • Therapy services (OT, PT, speech-language therapy)
  • Behavioral health services (including mental health and counseling)
  • TennCare Medicaid & waiver programs
  • Durable medical equipment (DME)
  • Assistive technology
  • Home health and nursing supports
  • Health and wellness programs
  • Telehealth

*Families often interact with multiple providers, so coordinated communication and strong advocacy are essential*

What is Included Under Primary & Preventive Care?

  • Annual physicals
  • Vaccinations
  • Developmental screenings
  • Routine labs
  • Care management

What is Included Under Specialty Care?

Individuals with disabilities may need access to specialists such as:

  • Neurologists
  • Psychiatric providers
  • Gastroenterologists
  • Endocrinologists
  • Orthopedic specialists
  • Behavior analysts

Many Tennessee hospitals (ex, Vanderbilt, Le Bonheur, Erlanger) offer multidisciplinary clinics for individuals with complex support needs.

What is Included Under Behavioral & Mental Health Services?

  • Counseling
  • Trauma-informed therapy
  • Positive behavior support
  • Applied Behavior Analysis (ABA) (varies by provider)
  • Crisis services
  • Community-based mental health programs

What is Included Under Therapeutic Services?

Covered through insurance, ECF CHOICES, or school IEPs:

  • Occupational Therapy (OT)
  • Physical Therapy (PT)
  • Speech-Language Therapy
  • Feeding therapy
  • Vision & hearing services

What is Included Under Assistive Technology & Medical Equipment?

  • Communication devices
  • Walkers, wheelchairs, orthotics
  • Hearing aids
  • Vision supports
  • Home modifications
  • Remote monitoring Funded through:
  • TennCare
  • ECF CHOICES
  • Tennessee Assistive Technology Project (TTAP)
  • Private insurance

What is Included Under Home Health & Nursing?

Home-based supports may include:

  • Skilled nursing
  • Medication management
  • Catheter care
  • Tube feeding support
  • In-home therapies

*Often funded through TennCare or HCBS waivers.*

To learn more about health support, check out this video: Embed ASSIST Video:



Assist_National_6_health_insurance

Resources Descriptions Eligibility Contact Information
TennCare Medicaid

TennCare Connect is an online tool for Tennesseans toapply for TennCare, Coverkids, and Medicare Savings Programs! After you’re approved, you can also use TennCare Connect to manage your coverage.

Tennessee’s Medicaid program provides healthcare coverage, long-term services, home health, behavioral health, pharmacy coverage, and assistive technology.

Benefits: Full medical coverage, therapies, durable medical equipment, mental health services, and HCBS waiver services.

Note* The application process is complex and requires documentation.

Additionally, keep copies of evaluations and request case management if the individual has complex needs.

Income-based OR disability-based; children with significant disabilities often qualify regardless of income through Katie Beckett or waivers. What is this link?

https://help.tn.gov/tn?id=kb_category&kb_category=6cf317d513e743801415dc128144

b05c

 

855-259-0701

Tennessee Disability and Aging

Provides health supports (medical and nursing services in residential models), behavior services (positive behavior supports, crisis intervention), and monitoring (oversight of supported living agencies)

Not applicable https://transitiontn.org/wp-content/uploads/2018/08/Supports_DIDD_state-agency_06-20-2018_FINAL.pdf

https://transitiontn.org/vr/wp-content/uploads/2020/10/Partner-Overview-DIDD.pdf

(615) 532-6530

If you have a question about receiving DIDD services, contact the toll-free number for your region:

(866) 372-5709 – West

(800) 654-4839 – Middle

(888) 531-9876 – East



Tennessee State Health Insurance AssistanceProgram (TN SHIP)

A federally funded program that provides free, unbiased counseling and assistance to Tennessee’s Medicare-eligible individuals, their families, and caregivers.

Not applicable
IDD Toolkit

This website provides information for the primary careof adults with intellectual and developmental disabilities. The Toolkit offers health care providers best-practice tools and information regarding specific medical, mental, and behavioral health concerns, including resources for patients and families.

Not applicable  

iddtoolkit@vumc.org

Tennessee Disability Pathfinder

A statewide directory of disability-related health providers, including specialists, therapy centers, and mental health supports.

Not applicable

 

*All resource descriptions are derived from the respective organizations.

How to apply for Health Supports

Checklist:

  • Primary care
  • Specialists
  • Therapies
  • Nursing
  • Medication management
  • Behavioral health
  • Assistive technology

1.     Gather Documentation

Most health programs require:

  • Medical diagnoses
  • Evaluations (psychological, developmental, or medical)
  • Therapy reports
  • Medications list

2.     Apply to the Appropriate Program

Depending on the individual’s age and needs:

  • TennCare Medicaid
  • Katie Beckett (if under 18)
  • Private insurance
  • ECF CHOICES
  • Provider agencies through Pathfinder

3.     Attend the Intake / Assessment

Discuss:

  • Health history
  • Current needs
  • Safety or medical concerns
  • Daily living assistance

4.     Follow Through with Specialists

Make appointments early; many specialists have long waitlists.

5.     Advocate Continuously

  • Keep a healthcare
  • Request plain-language
  • Ask providers to share information across
  • Schedule regular care plan

For Self-Advocates

Teach individuals to:

  • Say how they feel
  • Describe pain or discomfort
  • Ask questions like “What does that mean?”
  • Request breaks during appointments
  • Explain what helps them feel safe and comfortable

When in doubt: If you are looking for more health-related services and programs, check TN Pathfinder at https://www.tnpathfinder.org/guided-journey/topic-of-interest?isSortAlphabetical=false&filteredListingTypes=%5B4%5D&currentFilters=%5B%5D& onlyShowLocal=false

Sometimes, it can be hard to know where to start in Pathfinder. If you are struggling to understand how tofind resources related to health, here are some step-by-step directions:

  1. Start at the main page (link) and click “healthcare.”
  2. Click next
  3. Select the stage of life – Transition/Young Adult
  4. Click next
  5. Select the diagnosis that you or the individual identifies with/has
  6. Click next
  7. Choose the appropriate payment option that fits your needs
  8. Click next
  9. Select the appropriate city or search by your city and/or address
  10. Take time and navigate the resulting resources to further find what fits your specific

Giving Banner

This is a monthly email of Vanderbilt Kennedy Center Notables published by the Communications staff of the Vanderbilt Kennedy Center. Between issues of Notables, you can stay up to date on the latest Vanderbilt Kennedy Center news, information, and resources via the Vanderbilt Kennedy Center’s Facebook page.