Home and Community-Based Services (HCBS. Waiver – A variety of Medicaid home and community-based services as authorized under a §1915(c) waiver designed to offer an alternative to institutionalization. Individuals may be preauthorized to receive one or more of these services either solely or in combination, based on the documented need for the service or services to avoid institutionalization (nursing facility) placement.
Home and Community-Based Services (HCBS. Waivers means waivers under Section 1915(c) of the Social Security Act that allow Illinois to cover home and community services and provide programs that are designed to meet the unique needs of individuals with disabilities who qualify for the level of care provided in an institution but who, with special services, may remain in their homes and communities.
Home and Community-Based Services (HCBS. Services offered in the community setting designed to prevent or delay nursing facility placement of elderly or disabled adults.
Home and Community-Based Services (HCBS. An array of services and supports that are largely non-medical in nature and that address the needs of individuals with functional limitations who need assistance with everyday activities. They are focused on functionally supporting individuals living in the community regardless of whether provided under 1905, 1915(c), or 1915(i) authority. HCBS services are generally an alternative to an institution. The actual services available to a member will be described in the member’s PCSP.
Home and Community-Based Services (HCBS. Assisted living facility, alternative residential setting, or Home and Community Based Services (HCBS) as defined in A.A.C. R9-22, Article 2 and R9-28, Article 2 that meet the provider standards described in A.A.C. R9-28, Article 5, and subject to the limitations set forth in the AMPM. This service is covered in lieu of a nursing facility.
Home and Community-Based Services (HCBS. In-home or community-based support services that assist Medicaid individuals with long term care needs as authorized under Rhode Island’s Section 1115 Waiver. HCBS provide opportunities for eligible individuals to remain and reside in home and integrated community settings as an alternative to long term care institutional placement.
Home and Community-Based Services (HCBS. Waiver HCBS waivers are excluded from the Hoosier Care Connect program. Individuals who have been approved for these waivers will be disenrolled from managed care. The Contractor shall coordinate care for its members that are transitioning into the waiver.
Home and Community-Based Services (HCBS. An array of services and supports that although are largely non-medical in nature, are necessary to protect the health and safety of an individual and to enable the individual to live safely in a home or community-based setting. To qualify for the PASSE program, an individual has been identified through the Independent Assessment to have one or more functional limitations that impact the individual’s ability to care for oneself and is thus presumed to need some level of HCBS service or support. These services and supports enable individuals to live safely in the community regardless of whether provided under 1905, 1915(c), or 1915(i) authority. HCBS services and supports provide the individual with an alternative to receiving care in an institution. Therefore, the delivery of HCBS must be coordinated with the delivery of medical services. The actual services available to a member are based on the goals described in the member’s PCSP. LTSS and NCSS are related to HCBS. HCBS services with a clinical component must use the medical necessity standard.
Home and Community-Based Services (HCBS. 2.1.49.1 “Home and Community Based Services (HCBS)” means the waiver of Sections 1902(a)(10) and 1915(c) of the Social Security Act, which allows the federal Medicaid funding of LTSS in non-institutional settings for Members who reside in the community or in certain community alternative residential settings, as an alternative to long term institutional services in a nursing facility or Intermediate Care Facility (ICF). This includes services provided under the HCBS-CFI waiver program, Developmental Disabilities (HCBS-DD) waiver program, Acquired Brain Disorders (HCBS-ABD) waiver program, and In Home Supports (HCBS-I) waiver program.
