Tennessee Medicaid LTSS / Waiver Fee Schedule 2025

Tennessee Medicaid publishes 28 ltss / waiver procedure rates effective 2025 on its fee-for-service schedule. This page shows published rates for common ltss / waiver procedures with plain-language descriptions and, where a comparator exists, each rate as a percentage of national Medicare.

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The table on this page is a common-procedure sample. The full Tennessee ltss / waiver schedule has 28 codes.

  • Every code on all 51 published schedules
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Published codes

28

LTSS / Waiver procedures on the 2025 schedule

Median % of Medicare

--

no national Medicare comparator for this category

Effective vintage

2025

latest effective year on the schedule

TennCare pays medical services through managed-care organizations, so Tennessee publishes no state FFS fee schedule for most categories. The rates shown are the schedules Tennessee itself sets, such as DDA waiver services.

Why Tennessee publishes no Medicaid fee schedule

Common ltss / waiver procedures and what Tennessee Medicaid pays

A curated sample of recognizable procedures from the 28-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.

CodeProcedureTennessee rate% of Medicare

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.

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This table is the common-procedure sample. Every Tennessee ltss / waiver code, plus all 51 jurisdictions, exports as CSV on the Rates plan.

More Tennessee Medicaid fee schedules

LTSS / Waiver rates in neighboring states

Frequently asked questions

What does Tennessee Medicaid pay for long-term services and supports?

Tennessee Medicaid publishes 28 ltss / waiver procedure rates effective 2025 on its fee-for-service schedule. The schedule covers personal care, attendant services, day habilitation, and waiver program services. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.

How do Tennessee's ltss / waiver rates compare with Medicare?

Most ltss / waiver codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.

Do ltss / waiver services need prior authorization in Tennessee?

Tennessee does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".

Where do these rates come from?

Directly from Tennessee's published Medicaid fee-for-service schedule (effective 2025), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.