Tennessee Facility-Based Day Support Agency Policy Manual

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The Tennessee Facility-Based Day Support Agency Policy Manual provides a structured and comprehensive framework for the operation of agencies delivering non-residential, facility-based day support services to individuals with intellectual and developmental disabilities in the state of Tennessee. This manual is aligned with the rules and regulations set forth by the Tennessee Department of Intellectual and Developmental Disabilities (DIDD), including those outlined in Tennessee Rules Chapter 1200-08-34, and relevant sections of the Home and Community-Based Services (HCBS) Waiver Program under TennCare.
The manual encompasses essential policies and procedures covering licensing and certification, service delivery standards, staff training and qualifications, client rights and protections, person-centered planning, behavior support, documentation and recordkeeping, emergency preparedness, infection control, and quality assurance. It supports agencies in achieving and maintaining compliance with DIDD standards, TennCare HCBS requirements, and applicable federal regulations such as 42 CFR Part 441.
Designed to guide providers in delivering consistent, high-quality, and person-centered support services, the manual ensures that individuals served in facility-based day programs experience dignity, autonomy, inclusion, and opportunities for community engagement in accordance with Tennessee’s regulatory framework and best practices in developmental disabilities services.