Home healthcare worker with an elderly couple

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

New Editions employees discussing project tasks.
Centers for Medicare and Medicaid Services
Project Description: 

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
Skills and Capabilities: 
  • National and state-customized technical assistance
  • Web-based materials, tools and resources