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

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