Getting a safety determination can be hard. Please call Tennessee Justice Center for free help at 877-608-1009. 

Here are some general tips for getting a safety determination:

• It is best to ask for a Safety Determination any time you do a PAE. This way TennCare is more likely to get the best picture of what your needs really are. The person who did your PAE should know how to add the safety to your PAE.
• Or, you can call the TennCare Division of Long-Term Supports and Services and ask for a safety determination. Their phone number is 877-224-0219.
• You can write a letter to include in the safety that tells the State why you don’t think you will be safe at home. You can have your doctors, relatives, or others write about why you need help in a nursing home or why you need a higher level of care at home. They can say why limited help at home will not be enough for you.
• Fax any documents about your case to the TennCare Division of Long-Term Services and Supports. Their fax number is 615-734-5411. Write your name, Social Security Number, and date of birth on your fax cover page. If you have it, also write your PAE control number.

Remember: If you are not safe at home with CHOICES 3, you may be able to get help in a nursing home. Ask for a safety determination, and it could be a way for you to get approved for either CHOICES Group 1 (care at a nursing home) or Group 2 (same level of care at home).