The Rates plan
$29/mo7-day free trialThe 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
- Full-schedule CSV export
- Full state Medicaid dental network lists
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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.
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.
| Code | Procedure | Tennessee 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.
More Tennessee Medicaid fee schedules
- Tennessee other services fee schedule · 22 codes
- Tennessee behavioral health fee schedule · 3 codes
- Tennessee dme & supplies fee schedule · 1 codes
- Tennessee physician fee schedule · 1 codes
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.
Get an email the next time Tennessee changes these rates.