From June 2013 through June 2017, the Tennessee Department of Intellectual and Developmental Disabilities (DIDD) failed to monitor the needs status of individuals with I/DD receiving waiver services, and did not provide case management to individuals on the Medicaid waiver waiting list. DIDD did not always make adequate attempts to contact individuals on the waiver wait list who were known to have an aging caregiver after the state enacted an Aging Caregiver Program, which allowed individuals on the waiting list to qualify for additional services if their caregiver was a certain age. Although DIDD properly filled open waiver slots . . .