Technical Assistance for Self-Directed and Home and Community Based Services (HCBS)

Home healthcare worker with an elderly couple

New Editions provides technical assistance to state agencies on HCBS mechanisms, program design, service delivery systems and self-direction services. Under contract with the Centers for Medicare & Medicaid Services (CMS), New Editions specifically provides assistance to states seeking to develop or improve home and community based services under a variety of channels: Sections 1915(c) and 1115 waivers and Sections 1915(i), 1915(j) or 1915(k) State Plan Amendments. Technical assistance includes:

  • Determining which HCBS authority is most appropriate
  • Designing an integrated home and community-based services program such as
    • Community supports for people with disabilities
    • Supported employment
    • Individual budgeting
    • Person-centered systems
    • Establishment of a fair and equitable level of need assessment
    • Positive behavioral supports
    • Development of structures to create community integration
  • Integrating HCBS authorities and managed care
  • Creating new and improved rate structures or managed care delivery systems
  • Providing self-direction services and technical assistance such as:
    • Permissible purchases
    • Individual budget development strategies and fiscal management services