The Tennessee Department of Intellectual & Developmental Disabilities (DIDD) released this updated presentation on February 25, 2019. The presentation provides an overview of the state's 1915(c) waiver changes to employment and day services. The waiver changes were implemented to support alignment of reimbursement with desired employment and community integration outcomes; to allow more flexibility for how and where services are provided; and for increased opportunities for employment and community participation . . .