Home and Community-Based Services (HCBS) are Medicaid-funded supports that help people with disabilities and older adults live in their own homes or community settings instead of institutions or nursing homes. Services are person-centered and tailored to individual needs.

Who Qualifies for HCBS

• Must be on Medical Assistance (MA)
• Must meet level-of-care criteria (such as nursing facility level of care)
• Typically includes seniors, people with disabilities, or those with complex medical conditions
• Requires assessment by county or tribal staff

Services Include

• Personal care assistance
• Help with activities of daily living (ADLs)
• Health-related tasks and monitoring
• Behavioral health supports
• Respite care
• Homemaker and chore services
• Residential options such as adult foster care or supported living