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Employment and Community First CHOICES (ECF) is a new TennCare program for Tennesseans who have an intellectual or developmental disability (I/DD). Those who think they qualify can now apply for long-term services and supports. The program also offers supports for families caring for a person with an I/DD. ECF’s goal is to help people achieve employment and independence.

The ECF program provides many benefits including employment services and supports designed to facilitate employment and sustain people in their choices. It also provides wrap around services to support community integration and supports individuals to live in the community with the assistance they need to be more independent. ECF provides the services to help persons supported reach their community and independent living goals.

There are three benefit groups:

1. Essential family supports (including employment services)
2. Essential supports for employment and independent living
3. Comprehensive supports for employment and community living

ECF employment supports target a “pathway” to employment and career planning. This pathway is focused on services that meet people where they are on their career path. If you are just considering employment, exploration provides you an opportunity to explore interests and skills. PDI Community Integration Services provide meaningful, person-centered activities in community settings that include recreational opportunities with employment themes, such as volunteer opportunities and job searches.


Employment Services and Supports

  • Exploration
  • Discovery
  • Situational Observation and Assessment
  • Job Development Plan
  • Self-Employment Plan
  • Job Development Start Up
  • Self-Employment Start Up
  • Job Coaching Integrated Comp Employment
  • Job Coaching for Self-Employment
  • Co-Worker Supports
  • Supported Employment – Small Group
  • Career Advancement
  • Supported Employment – Small Group Mobile Work Crew
  • Integrated Employment Path Services

Long-Term Services and Supports

  • Independent Living Skills Training
  • Personal Assistance
  • Community Living Supports
  • Community Living Support – Family Model
  • Supportive Home Care
  • Respite
  • Community Integrated Support Services
  • Community Transportation

PDI supports the following counties through the ECF CHOICES program:

Region I – Montgomery, Stewart, Robertson, Cheatham, Henry, Benton, Weakley and Carroll

Margaret Davis
(931) 538-6193

Region II – Maury, Marshall, Giles and Hickman

Lee Brown
(931) 363-3237


Learn More

To learn more about ECF, please contact us or visit the official ECF website.