Tennessee's TennCare program implemented a new long-term care program called CHOICES that included participant direction as an option for home and community-based care. TennCare contracted with PCG Public Partnerships (PPL) to provide financial administration and supports brokerage services for the participant direction program. PPL worked closely with TennCare for over a year prior to launch to develop policies and procedures. Since the program launched in 2010, over 1,000 individuals have been referred and about 360 are actively receiving services through participant direction. PPL handles on average 1,300 calls and over 300 employees per month to support consumer-directed services.