What is the purpose of the Home and Community Based Services (HCBS) Waiver?

The Home and Community Based Services (HCBS) Waiver is designed specifically to provide services that help individuals remain in their homes and communities rather than being placed in institutional care. This program supports the preference of many individuals to receive care in familiar surroundings, promoting independence and improving quality of life.

The services covered under the HCBS Waiver can include personal care assistance, respite care, homemaker services, and other support that enables individuals to function effectively in their home environments. This approach not only increases the individual's personal choice but also serves as a cost-effective alternative to more expensive institutional settings.

In this context, the other options do not align with the purpose of the HCBS Waiver. For instance, it does not mandate institutionalization, nor does it limit Medicaid to hospital-based care or replace traditional Medicaid services; instead, it enhances the existing services by focusing on community and home-based options.