Home and Community-Based Services

While faced with new challenges, reduced budgets, and growing populations requiring more services, states are stronger than ever, and the work they do is more effective than ever in reaching individuals and addressing their needs. The National Home and Community Based Services (HCBS) Conference 2018 highlights these achievements, allowing states to share best practices, present unique partnerships, and recognize the work of their peers.

This report describes key considerations and policy decisions that states should consider as they work to implement EVV systems in accordance with the mandate included in the 21st Century Cures Act. The paper also examines different approaches that states may wish to use to establish EVV within their HCBS programs, and discusses some of the benefits and challenges associated with each approach. Lastly, it includes case studies of four states with existing EVV systems.

In 2016, ACL's Administration on Aging contracted ICF International (ICF) to conduct a participatory evaluation of the Title VI Grant Program. This program provides home and community-based supportive services for older American Indian, Alaskan Native, and Native Hawaiian populations. The evaluation addresses topics such as: how tribes/organizations operate their Title VI Programs; the impact of Title VI programs on elders in the community; and more.

Presentation from the 2017 HCBS Conference on "Why and How Minnesota is Keeping LTSS Quality Measures Relevant".

Includes archives of prior webinars on HCBS Quality efforts.

This report examines state and federal oversight of assisted living services in Medicaid. Individuals receiving long-term care services from Medicaid in community residential settings is expected to grow. This report describes state spending on and coverage of these services; describes how state Medicaid agencies oversee the health and welfare of beneficiaries in these settings; and examines the extent that CMS oversees state Medicaid agency monitoring of assisted living services.

The Administration for Community Living (ACL), joined the Department of Health and Human Services (HHS) Office of Inspector General (OIG) and the HHS Office of Civil Rights to produce a report on ensuring beneficiary health and safety in group homes through state implementation of comprehensive compliance oversight. This report serves as a resource for states to use as a part of efforts to ensure that all group homes are safe and healthy places for people with disabilities.

The Government Accountability Office (GAO) examined states’ needs assessment processes for provision of long-term services and supports. GAO studied six states that differed in the following ways: assessment tools in use, participation in federal initiatives, HCBS delivery systems, and geographic location. GAO also reviewed federal requirements and documents and interviewed CMS officials and stakeholders.

This report presents the findings and conclusions of this national evaluation of the MFP demonstration. The MFP Rebalancing Demonstration program launched more than nine years ago. There are 44 grantee states, and as of the end of calendar year 2015, grantee states had transitioned a total of 63,337 Medicaid beneficiaries from long-term institutional care to community residences and home and community-based LTSS.