Health Affairs October 3, 2022
Heather Tirado Gilligan

Abstract

Committed to empowering people with intellectual and developmental disabilities, Tennessee’s Medicaid program creates access to integrated employment opportunities.

Wearing a black polo shirt stitched with a Vanderbilt University logo, Sean Jefferson, 26, nestled his large frame into an armchair in the compact living room of his studio apartment in Nashville, Tennessee. Leanne Brooks, a social worker, sat across from him on the matching loveseat. It was a hot, humid late afternoon in July. Jefferson is autistic and speaks in quick, monotone bursts. But Brooks knows him well. She easily drew him into a conversation about sports, a passion they share. Jefferson, a football and wrestling fan, lit up as he told her about the tickets...

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