Introduction to Home and Community-Based Services: Key Considerations for Health Plans

Home and community-based services (HCBS) encompass a broad range of services and supports designed to help older adults and people with disabilities live in their homes, rather than in institutional settings such as nursing facilities. HCBS are designed to support individuals meeting certain criteria based on a functional assessment, in carrying out every day activities in their own homes and communities (see brief on Assessing Members’ LTSS Needs for more information on functional assessment tools). These services are mostly non-medical in nature, are defined differently across states, and vary by provider. This brief provides health plans with an overview of HCBS settings, providers, and services.

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