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 home and community-based services (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 HCBS 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 HCBS 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; and
    • 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; and
    • Individual budget development strategies and fiscal management services.