Community Living Supports (CLS) is a Medicaid-funded residential service offered in Tennessee, designed to help seniors and adults with disabilities achieve independence, integrate fully into the community, and make individual choices. This service adheres to Home- and Community-Based Services (HCBS) standards as established by the state of Tennessee.
CLS is a key component of Tennessee’s TennCare CHOICES and Employment and Community First CHOICES (ECF CHOICES) programs. It supports individuals of all ages with intellectual or developmental disabilities (I/DD) and other disabilities who require residential support but do not need institutional care. The program aims to help individuals live in family settings or community-based homes, maintaining independence and full community participation.
CLS services are customized to meet the unique needs of each individual, as outlined in a person-centered care plan.
Support services enable participants to select and maintain their housing, choose housemates, and access essential community resources.
These services may include assistance with daily living activities (ADLs), transportation, supervision, and other daily needs.
CLS ensures that residents’ rights and preferences are respected, offering them choices for living arrangements and activities.
Primarily independent individuals with limited support (less than 21 hours per week). No overnight staff required, but 24-hour on-call support is available.
Minimal to moderate ongoing support. Residents can be left alone for extended periods but have access to 24-hour on-call support, with no overnight staff.
Higher levels of support needed, often due to advanced dementia or significant cognitive disabilities. This may require 24-hour supervision.
For individuals with severe needs requiring constant supervision and support throughout the day and night.
In conclusion, Tennessee’s CLS program offers a flexible, person-centered residential support option, helping adults and seniors with disabilities live independently in the community. Services are tailored to meet individual needs, with different levels of support based on the person’s acuity and requirements.
The Tennessee Division of TennCare’s Long-Term Services and Supports (LTSS) is responsible for overseeing the CLS program.
Managed Care Organizations (MCOs) such as BlueCare, Amerigroup, and UnitedHealthcare manage and deliver CLS services across the state.
Compassionate care, personalized support, and peace of mind—Better Options is here to enhance independence and well-being for your loved ones.