Support Solutions

What Support Solutions does

Support Solutions (legal name: Support Solutions of Tennessee) is a private, for-profit human-services provider founded in 2005 and headquartered in Memphis, Tennessee. The company delivers supports to individuals with intellectual and developmental disabilities (IDD), behavioral and mental health needs, and youth, operating from 12+ office locations spanning West, Middle, and East Tennessee and extending into Western North Carolina through subsidiary NC Outreach Homecare LLC. Service lines include residential and community-based IDD supports, Applied Behavior Analysis (ABA), Intensive Outpatient Programs (IOP), mental health housing, youth services, and Employment and Community First (ECF) CHOICES services.

The company is funded principally through Medicaid reimbursements administered by TennCare, the state's managed Medicaid program, with contracted relationships to BlueCare, United Healthcare, and Wellpoint (the three Tennessee MCOs). Admissions flow through referral channels including psychiatric hospitals and Tennessee Department of Disability and Aging (DDA) caseworkers. Support Solutions holds the highest-level CARF accreditation, is designated a Person Centered Organization by DDA, and is an ECF CHOICES provider, satisfying the regulatory and credentialing prerequisites required to bill Medicaid for these service categories. A proprietary offering — the SESH (Specialized I/DD Enhanced Supportive Housing) program — was co-developed with MCO partners and constitutes a differentiated, contractually embedded service line.

The go-to-market model combines organic statewide geographic buildout (one to two new office openings per year on average across 2005-2021), selective tuck-in M&A (the 2018 CS Patterson acquisition in Dyer and Gibson Counties), and continuous product-line extension. Revenue mechanics are volume-based: the company bills MCOs for units of service delivered to Medicaid-eligible recipients across residential, day, clinical, and supported-employment settings. End customers are distributed individual Medicaid recipients; the payor side is concentrated among three TennCare MCOs. Employee count is stated at 1,001-5,000, reflecting a sizeable multi-site clinical and direct-support workforce distributed across Tennessee and North Carolina.

Name

Support Solutions

Legal name

Support Solutions of Tennessee

Website

https://supportsolutionsms.com

Company type

Private

Founded year

2005

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

Support Solutions is a Memphis-headquartered human-services provider delivering IDD, mental health, and youth services across Tennessee and Western North Carolina, funded primarily through TennCare Medicaid reimbursements under contracts with BlueCare, United Healthcare, and Wellpoint.

Ownership category

akta.pro rank

Product category

Intellectual and Developmental Disability Services

NAICS

Residential Intellectual and Developmental Disability Facilities (623210), Services for the Elderly and Persons with Disabilities (62412), Vocational Rehabilitation Services (6243), Other Individual and Family Services (62419)

SIC

Services-Nursing & Personal Care Facilities (8050), Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Specialized Assisted Living for Developmental/Intellectual Disabilities (Adult) (HLADABAJ)

akta.pro secondary industry

Mental Health & Crisis Support Services (BPAGACAD)

Keywords

• Intellectual disability services
• Developmental disability support
• Mental health housing
• Applied behavior analysis
• Supported living services

Headquarters

HQ city

Gaffney

HQ country

United States

HQ region

North America

Offices11 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. TennCare Medicaid Services: Services funded through Tennessee's managed Medicaid agency covering over 1.7 million residents, including individuals with intellectual/developmental disabilities and mental health needs.
2. Insurance Provider Partnerships: Affiliated with United Healthcare, Wellpoint, and BlueCare for mental health clinic and other services. TennCare Employment and Community First CHOICES provider through these insurance networks.
3. MCO-Partnered Programs: SESH program developed in collaboration with Managed Care Organizations (MCOs) for dual-diagnosis individuals.

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

Support Solutions provides direct, in-person support services for individuals with intellectual and developmental disabilities (IDD) and mental health diagnoses across Tennessee and Western North Carolina. Its service portfolio encompasses supported living, mental health housing, the proprietary SESH (Specialized I/DD Enhanced Supportive Housing) program for dual-diagnosis clients, behavioral services, day and community integration programs, employment supports, early intervention, respite, and outpatient mental health clinic care. Services are funded primarily through TennCare managed Medicaid (BlueCare, United Healthcare, Wellpoint) and delivered by BCBAs, RBTs, therapists, nurses, case managers, and direct support professionals.

Product overview

Support Solutions is a service provider (not a software product company) offering a comprehensive array of healthcare and support services for individuals with intellectual and developmental disabilities (IDD) and mental health diagnoses. The company's service portfolio is organized into Tennessee services and North Carolina services (provided through NC Outreach Homecare LLC, a Support Solutions company). Tennessee services include: Supported Living (personalized housing support with community access), Mental Health Housing (supervised housing with therapeutic services), Specialized I/DD Enhanced Supportive Housing/SESH (for dual diagnosis individuals using ABA and Psychosocial Rehabilitation), Behavioral Respite (short-term crisis support), Behavior Services (clinical behavioral support by licensed professionals), Community-Based Day & Integration Services (community participation programs), Community Living Supports (residential alternatives to nursing homes), Early Intervention Services (birth-to-two developmental support), Employment and Community First CHOICES/ECF (TennCare employment program), Employment Day Services (supported employment), Family Model Residential Supports (family-style residential care), Home Bound Services (in-home medical/behavioral support), Independent Living Skills Training, In Home Day Services, Mental Health Clinic (outpatient therapy and medication management), Personal Assistance, Respite Services, and Semi-Independent Living Services. North Carolina services through NC Outreach Homecare include Community Living and Support, Community Networking, Day Supports, Residential Supports, Respite, and Supported Employment Services.

Differentiator

Problem solved

Functional benefit

Products and services

• Supported Living Supportive living services that allow individuals with IDD to choose where and how they live, with assistance arranging living spaces, ensuring safety, meeting personal needs, and providing transportation and healthcare access for community living.
• Mental Health Housing Supervised housing combined with daily living, social, and therapeutic services including interpersonal skills training, daily living skills, educational development, recreation, community outings, self-help groups, vocational rehabilitation, and family involvement.
• Specialized I/DD Enhanced Supportive Housing (SESH) A higher-support housing option for individuals with dual diagnosis of I/DD and mental health, co-developed with MCOs and delivered via Applied Behavior Analysis and Psychosocial Rehabilitation by BCBAs and RBTs to stabilize diagnoses and transition individuals to community-based living.
• Behavioral Respite Short-term respite services (typically 30 days or fewer) for individuals with IDD experiencing challenging behaviors, providing temporary relocation to a different environment, with referrals managed by the Department of Disability & Aging.
• Behavior Services Comprehensive behavioral health services staffed by licensed clinicians (BCBAs and RBTs under Doctoral-Level BCBA supervision), including assessments, support plans, caregiver training, crisis response, and ongoing evaluation.
• Community-Based Day and Integration Services Day services focused on community participation, job exploration, volunteering, education, and fostering meaningful relationships alongside people with or without disabilities.
• Community Living Supports (CLS) Community-based residential alternative for adults with disabilities and seniors providing practical help, supervision, transportation, and support to assist transitioning from or avoiding nursing home placement.
• Early Intervention Services Voluntary educational program for Tennessee families with children from birth to age two who have developmental delays or disabilities, focusing on physical, cognitive, communication, self-help, and social-emotional skills.
• Employment and Community First CHOICES (ECF) TennCare-managed program for individuals with IDD supporting employment exploration, skill development, job coaching, community integration, and independent living skills training.
• Employment Day Services Supported employment programs assisting individuals with severe or significant disabilities in finding and maintaining competitive jobs, offering continuous support including job supervision, equipment adaptation, behavior supports, transportation, and personal care assistance.
• Family Model Residential Supports (FMRS) Alternative living arrangement where seniors and adults with disabilities live in homes of specially trained family caregivers, with each home limited to no more than three supported persons and 24/7 assistance available.
• Home Bound Services In-home support for individuals who need services due to medical, behavioral, psychiatric, or other exceptional circumstances, aligned with Person-Centered Support Plan outcomes.
• Independent Living Skills Training Education and skill development to enhance individuals' ability to independently manage daily activities and utilize community resources, including personal hygiene, food preparation, home maintenance, money management, community resource access, and driving evaluation.
• In Home Day Services Day support delivered in the home environment for individuals with challenging behaviors, psychiatric concerns, medical necessities, or those who have chosen retirement, encouraging participation in therapeutic activities at a comfortable pace.
• Mental Health Clinic Outpatient mental health services including Intensive Outpatient Program (IOP), individual/family/group therapy, and medication management by a Psychiatric Nurse Practitioner, with affiliations with United Healthcare, Wellpoint, and BlueCare.
• Personal Assistance Direct support with daily living tasks including eating, toileting, personal hygiene, grooming, and other daily tasks in the home, work, or community setting.
• Respite Services Temporary relocation or additional in-home support when caregivers need relief due to illness, injury, or routine relief, provided in the home, another home, or at behavioral respite homes.
• Semi-Independent Living Services (SILS) Intermittent support for individuals with intellectual disabilities to maintain independence in their own homes, including daily activity assistance, medication management, and 24/7 emergency assistance.
• Community Living and Support (North Carolina) Personalized in-home and community-based support delivered through NC Outreach Homecare, helping North Carolina individuals build independence, strengthen daily living skills, and stay connected to their community.
• Community Networking (North Carolina) Individualized daytime activities in integrated community settings delivered through NC Outreach Homecare, including adult education, volunteer work, hobby classes, self-advocacy training, and public transportation training.
• Day Supports (North Carolina) Structured daytime services focused on socialization, daily living skills, inclusion, and meaningful activities in a licensed day program or community setting, delivered through NC Outreach Homecare.
• Residential Supports (North Carolina) Individualized care and supervision in group home or alternative family living settings through NC Outreach Homecare, helping individuals live safely, build skills, and be active in their community.
• Respite (North Carolina) Planned or emergency relief for primary caregivers through NC Outreach Homecare, ensuring individuals continue receiving safe, supportive care at home or in another approved setting.
• Supported Employment Services (North Carolina) Employment support through NC Outreach Homecare helping individuals prepare for, find, and maintain competitive employment with personalized job coaching and workplace support.

Named customers3 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Six partnerships are on record, tiered core.

• BlueCare (TennCare)coreGTM or Marketing PartnerBlueCare Tennessee, a TennCare managed care organization, partners with Support Solutions as an Employment and Community First CHOICES provider for individuals with intellectual and developmental disabilities.
• United HealthcarecoreGTM or Marketing PartnerUnited Healthcare works with Support Solutions as a TennCare partner for Employment and Community First CHOICES services and mental health clinic affiliations.
• WellpointcoreGTM or Marketing PartnerWellpoint (TennCare managed care organization) partners with Support Solutions for Employment and Community First CHOICES program and mental health clinic services.
• Managed Care Organizations (MCOs)coreStrategic or Co-development PartnerSupport Solutions collaborated with MCOs to develop the unique SESH program specifically for individuals with dual diagnosis of I/DD and mental health, the only such program in existence.
• Tennessee Department of Disability & Aging (DDA)coreOthersDDA handles referrals for behavioral respite services and approves clinical professionals for behavior services. Provides oversight and regulatory approval for Support Solutions' programs.
• NC Outreach Homecare LLCcoreOthersWholly-owned subsidiary of Support Solutions that provides North Carolina services including Community Living and Support, Community Networking, Day Supports, Residential Supports, Respite, and Supported Employment Services.

Scale indicators3 records

Recent moves16 records

Expansion highlights5 records

Direct peers

• Merakey: Nonprofit provider of behavioral health, IDD, and autism services across Pennsylvania, Delaware, and other states with intensive community-based and residential programs. Directly comparable in dual-diagnosis care model and ABA-based service delivery.
• RHA Health Services: Private provider of IDD, mental health, and substance use services across multiple U.S. states with a strong Southeast footprint. Directly comparable in service mix (supported living, behavioral health, community integration) and Medicaid-managed care payer model.
• D&S Community Services: Tennessee-headquartered provider of residential, day, and behavioral services for individuals with IDD and mental health needs. Closest geographic peer to Support Solutions, operating under similar TennCare MCO framework.

Broad incumbents

• Bayada Home Health Care: Large non-profit home health and adult/pediatric services provider operating across the Eastern U.S. Overlaps with Support Solutions on personal assistance, in-home supports, and community-based IDD services, particularly in the Carolinas and Mid-Atlantic.
• Sevita Health (The MENTOR Network): Largest U.S. provider of home and community-based services for individuals with intellectual and developmental disabilities (IDD), operating across dozens of states. Directly comparable to Support Solutions in IDD residential, day, and behavioral support service lines, with far broader geographic reach.
• BrightSpring Health Services: Public, diversified home and community-based services platform providing pharmacy, behavioral health, IDD, and home health services. Comparable to Support Solutions across its IDD/behavioral health services segment, with significantly greater scale and capital access.
• Volunteers of America National Services: National nonprofit providing IDD, behavioral health, senior, and supportive housing services across the U.S. Comparable to Support Solutions on supported living, mental health housing, and Medicaid-funded community-based services.
• Easterseals UCP: Nonprofit provider of disability and behavioral health services across many U.S. states. Comparable to Support Solutions across the IDD and mental health continuum, including early intervention and supported employment.
• Caregivers of America / All Ways Caring: National provider of home and community-based services including IDD, behavioral health, and home health, serving Medicaid populations across many states. Comparable to Support Solutions in IDD personal care and community living service lines.

Regional players

• LifeScape (Lifeworks): South Dakota-headquartered provider of IDD, autism, and behavioral health services with residential, day, and therapy programs. Comparable in service mix to Support Solutions though geographically non-overlapping.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights7 records

Customer concentration

• Xx.com/SupportSolutio1
• Facebookfacebook.com/profile.php?id=61552691511879
• LinkedInlinkedin.com/company/support-solutions-llc

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Support Solutions