Home and community-based services (HCBS) is a specific term for Medicaid waivers that allow states to provide non-institutional and non-clinic-based services, to serve consumers who traditionally have received care in institutional settings. These waivers typically apply to expanded personal care, home health, adult day care, respite care, and services for individuals suffering from a number of conditions, such as mobility problems, brain injury, intellectual disabilities, and developmental disabilities. For many managers of health and human services, these HCBS waivers and the HCBS themselves seem a bit esoteric, and very specific to a small population of individuals . . .
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