What is HCBS

Home and Community Based Services

HCBS provides opportunities for Medicaid beneficiaries to receive services in their own home or community rather than in institutions or other isolated settings. These programs serve a variety of targeted population groups, such as people with intellectual or developmental disabilities, physical disabilities, and/or brain injuries, among others.

These services are provided through HCBS Waiver programs developed and managed by each individual state. State HCBS Waiver programs must: 

  • Demonstrate that providing waiver services won’t cost more than providing these services in an institution.
  • Ensure the protection of people’s health and welfare.
  • Provide adequate and reasonable provider standards to meet the needs of the target population.
  • Ensure that services are individualized and person-centered.