TennChoice Support Services, Inc.
Coming soon to Middle Tennessee!
While traditional self-directed options strictly place the entire employer burden on your shoulders and often place heavy restrictions on live-in household caregivers…
TennChoice does things differently.
We act as your full-service agency partner, allowing you to hire the trusted family caregiver even the one who lives with you!
Choose the Caregiver You Trust
When it comes to long-term waiver supports, you do not have to turn over your care to a stranger just to get the help you need. We believe that true quality care begins with trust.
Through our agency structure we provide, the Tennessee waiver programs can give you the complete freedom to choose exactly who steps into your home as your paid caregiver. Whether you are an adult client directing your own care, or a parent organizing support for your child, you make the choices.
The person you select simply needs to pass Tennessee’s standard background and compliance requirements, and we handle all the training and onboarding details to get them fully cleared.
How the Choice Model Works for Your Household
You do not have to accept an agency-assigned worker nor do you need to be the employer. Instead, you select the person who best fits your life and family dynamics:
- Choose to Be the Caregiver Yourself: If you are a live-in parent or relative providing around-the-clock care, our agency can hire you directly as a W-2 employee. This turns your daily caregiving hours into a reliable, tax-exempt paycheck so you can afford to stay home with your loved one.
- Hire a Trusted Family Member or Friend: If you want or need to work outside the home, you don’t have to hire a company stranger. You can select a trusted aunt, adult sibling, neighbor, or lifelong family friend. Our agency will handle their onboarding, background checks, and payroll so they can get paid to help your household.
- A Reliable Backup Network: Life happens. If your primary chosen caregiver gets sick or needs a break, you are in the driver’s seat to name a backup person you already know and trust to temporarily step in, keeping your care consistent while giving you peace of mind.
Our Core Agency Objective
TennChoice Support Services was founded by a parent that has been navigating the complex transition to adulthood with their own child who requires long-term support. From that experience, we are establishing a solid administrative framework to deliver reliable, non-clinical long-term care directly inside your home. Between endless doctor visits, therapies, and intensive daily routines, your family already balances a demanding schedule, so our objective is to completely absorb those employer state mandates, payroll, and compliance headaches so they don’t all fall on your shoulders.
Continuous Timesheet Management & Direct Support
Under the traditional state program, families are often left to navigate digital logging portals all on their own—from troubleshooting app glitches and resetting passwords to worrying about strict automated timesheet deadlines. Trying to keep up with these continuous tracking metrics can easily make your home feel like an unpaid tech-support office.
TennChoice Support Services is always here to provide the direct, ongoing support you deserve. We quietly manage the tracking systems and process electronic verifications behind the scenes, taking care of logging errors directly so you don’t have to. When everyday user mistakes or system glitches happen, our administrative team steps in to make the necessary corrections for you. We carefully protect your caregiver’s timeline so their paycheck stays reliable, keeping your household free from administrative tech burdens.
Shifting Employer Responsibilities Off Your Shoulders
Under the state’s traditional Consumer Direction program, the standard guidelines place the full business workload directly on you, expecting families to manage the formal hiring, training, scheduling, and dismissal of their own caregivers. Under that self-directed system, taking care of a loved one can quickly feel like managing a business, leaving you personally responsible for keeping up with complex training logs and filing clinical incident reports within strict 4-hour state windows.
TennChoice Support Services is here to take that entire administrative weight off your shoulders. We willingly step into the official corporate Employer role, completely absorbing the regulatory tasks, HR management, and state audit demands for you. We take care of those intricate operational details quietly behind the scenes, letting your family step back from the paperwork so you can focus entirely on your daily care routines in a peaceful, supportive home.
Tax Free Income & Full Retirement Matching
If your caregiver lives under the same roof (like a parent, son, daughter, or sibling), their pay may qualify for the IRS Difficulty of Care Tax Exclusion. Under the state’s traditional Consumer Direction option, families often fall into relationship tax exemptions that completely pause their retirement accumulation. This means dedicated caregivers can unintentionally miss out on their long-term financial security just to receive a paycheck today, leaving valuable matching employer funds sitting completely untouched behind the scenes.
When you choose TennChoice, we apply this federal rule to lovingly protect your family’s future. Because TennChoice operates as a professional W-2 agency, we continue to pay directly into your caregiver’s Social Security and Medicare accounts every single month. Your loved one’s retirement future stays completely secure—quietly building up their long-term financial safety net while safely maximizing their tax-free take-home pay.
Our Waiver Support Services
Once our official state licensing phase concludes, TennChoice Support Services will handle the full payroll administration for the following authorized, non-clinical home and community-based services—completely customized to your daily family routines:
Supportive Home Care: This focuses on maintaining a safe, organized, and sanitary household. Your caregiver receives compensation for helping with light housekeeping, laundry, grocery shopping, and providing essential accompaniment out in the community.
Personal Care Support: This covers the essential daily routines your chosen caregiver already provides. It funds direct assistance with vital activities of daily living, including bathing, dressing, grooming, eating, and basic meal preparation.
In-Home Respite Support: This provides vital relief for primary family caregivers. Your approved waiver funding allows a secondary trusted family member, neighbor, or friend to step in and handle temporary supervision, ensuring your loved one remains safe and secure.
Attendant Care Support: Designed for families balancing complex care needs. This service utilizes your trusted caregiver to provide the exact same personal care assistance, but is authorized for extended daily shifts that require continuous coverage.
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Simplifying Your Journey Every Step of the Way
Long-term waiver programs are designed to keep families together, but the administrative framework can be difficult to manage alone. At TennChoice, we don’t just process payroll—we walk alongside your household as a dedicated partner, helping you understand the rules and giving you a supportive peer who has been in the system before.
Navigating Complex Paths
The rules around state support for your loved one can be incredibly overwhelming, and trying to navigate complex regulations can feel impossible. We are here to break down the waiver requirements into plain, manageable language so you can make the best-informed decision for your family.
Pre-Planning Assistance
We guide you through the detailed clinical guidelines required for specialized pathways. From managing background checks to providing core competency modules directly through our agency, we ensure your household documentation is thorough, accurate, and fully compliant with state standards.
A Peer who Listens
Founded by a fellow parent of an adult child with disabilities, we understand the daily realities of lifetime care. While a paycheck does not change the routine, it can relieve the anxiety of daily bills. Our goal is to help you secure a reliable income, lifting financial burdens off your shoulders.
A Note on Tennessee’s Daily Rates Caregiving Pathways (Group 6):
Many families in our community have heard about a specialized “per diem” (daily rate) pathway under ECF CHOICES Group 6. It is designed to support comprehensive, long-term care right at home, but it often feels like a completely hidden journey.
Please be aware that because this path involves strict state level-of-care guidelines and intensive eligibility reviews, the approval process is exceptionally detailed. TennChoice is fully committed to assisting your family through this process. While we manage your hourly waiver services, we can actively help you understand the detailed documentation required for these daily rate structures. During your private consultation, we can look at your long-term goals and help you build the solid documentation foundations needed to navigate this complex system together.
Join Our Private Launch Wait List
Phone: 615-576-5600
Email: admin@tennchoice.com
Please do not leave sensitive medical details or Protected Health Information (PHI) in your initial message.