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

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.