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MHDS serves approximately 270+ persons and employs more than 450 staff in West Tennessee including Madison, Haywood, Hardeman, Hardin, Decatur, Chester, McNairy, Gibson, Fayette and Henderson counties with varying levels of service.


Service plans are designed for each individual for optimal independence and dignity. Each person’s care is directed by the development of an Individual Support Plan (ISP) with full participation by the recipient or their conservator and all stakeholders providing care or services.


Find out more about the different services we provide by clicking a box on the left.

The State of Tennessee has made some changes to policies that you might want to be aware of.  We have provided the two full documents containing the changes below, but most importantly, there are some opportunities for families to attend a webinar/conference call where a representative from the state will walk through the letter and answer your questions.

Webinars are available on the following dates and times:

Wednesday, February 17, 10:00am – 12:00pm CST

Wednesday, February 24, 10:00am – 12:00pm CST

Thursday, February 25, 4:30pm – 6:30pm CST

Friday, February 26, 1:30pm – 3:30pm CST

The call in number is toll-free: 877-820-7831.

If you would like to log in to the webinar, you can do so at the following URL:


**You do not NEED to log in to the webinar to attend.  You can call in and hear the entire conversation.


Click here to see the formal letter sent out about the HCBS Settings Letter, which addresses changes to HCBS and Facility-Based Day programs.

Click here to see the HCBS Settings Rule FAQs.


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