Medicaid HCBS

About Medicaid HCBS
Medicaid home and community-based services (HCBS) are a wide range of services and supports provided to individuals in a home or community setting.
In Medicaid, HCBS are available to many individuals with significant health conditions and/or functional limitations and cover a wide range of supports such as home health, rehabilitation, transportation, nutrition, employment supports, and many others. Services provided by members of the Alliance are often both medical supports, such as home health and private duty nursing, and non-medical services such as personal care, homemaker, and chore services.
Each state crafts their own unique Medicaid program that operates under a broad, flexible, Federal framework. The HCBS that states most frequently use are established through a variety of authorities in the Social Security Act, each with their own specific services, requirements, and limitations. Major authorities include:
- Section 1915(c) HCBS Waivers
- Section 1915(i) HCBS State Plan Option
- Section 1915(k) Community First Choice
- Section 1115 Research and Demonstration Waivers
- Section 1905(a)(7) Home Health Services
- Section 1905(a)(8) Private Duty Nursing Services
- Section 1905(a)(24) Personal Care Services

Medicaid at the National Alliance for Care at Home
The National Alliance for Care at Home supports members through advocacy, education, research, and publications that seek to advance the provision of care at home and improve the quality of HCBS delivered to Medicaid-eligible individuals. Guided by our Medicaid Advisory Council, we produce member-driven resources to support home care providers.
For more information or to get involved, join the conversation here!
Featured resources for Medicaid HCBS members.
The Value of Medicaid HCBS and the Risk of Reductions
Kaiser Family Foundation Website ➤
Medicaid and CHIP Payment and Access Commission (MACPAC) ➤
CMS Medicaid Webpage ➤
Managed Care MLR Analysis ➤
Medicaid HCBS Fill-Rate Survey Results ➤
Electronic Visit Verification and Home Health ➤

View the full resource library that aims to strengthen our members with expertly-created tools.
The latest Medicaid HCBS News
Webinars and online trainings specific to Medicaid.
Webinar: Medicaid Access Rule
Making Sense of Medicaid: Dual Eligibility
Making Sense of Medicaid: Medicaid Managed Care
Making Sense of Medicaid: Long-Term Care

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