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HCBS rights

People who receive home and community-based services keep these rights. A person-centered plan says how the rights work in daily life. A right is limited only when that plan documents a specific assessed need and the person agrees to it (informed consent). Limits are reviewed regularly.

This is a plain-language summary of 42 CFR 441.301(c)(4) (opens in a new tab) and Tennessee Rule 0465-02-06-.06. It is not the written notice each person receives.

  • A lockable door. The person can lock the door to their bedroom. Only staff who need a key have one.
  • Privacy. Their own space, their own mail, and private calls and visits.
  • Food at any time. Access to food when they want it.
  • Visitors at any time. Visitors of their choosing, when they want them.
  • A roommate they choose. When a room is shared, the person has a choice of roommate.
  • Their own space to decorate. Freedom to furnish and decorate the space.
  • A residency agreement. A written agreement that protects them from being made to leave without the process in that agreement, with protections from eviction at least as strong as Tennessee landlord-tenant law.
  • An accessible home. The home is physically accessible to the person.
  • Dignity and respect. Treated as an adult, free from coercion and restraint.
  • Choice. Their own schedule and activities.
  • Community life. Getting out, joining in, and making friends.
  • Work and goals. Chances to seek a job and work in the community.
  • Their own money. Support to manage personal funds, their way.
  • Rights in writing. Before or when services start, each person (or their legal representative) gets these rights in writing and explained out loud, along with HIU’s grievance steps and a list of advocacy services. (Tennessee Rule 0465-02-06-.06(1)(a)-(b))

Raising a concern

You can raise a concern, or help someone else raise one, without being punished for it. Services will not be reduced or stopped because someone complained. Start at Report a concern, or go straight to an outside agency.

Outside advocacy

Official links

Tennessee Rule 0465-02-06, person supported rights (official index) (opens in a new tab)

Tennessee Rule 0465-02-06 (official PDF) (opens in a new tab)

The legal name of this provider is Hands In Unity LLC.