A Compendium of Current Federal Initiatives in Response to the Olmstead Decision. HOME AND COMMUNITY-BASED SERVICES RESOURCE NETWORK


Funding Organizations:

  • Heath Care Financing Administration (HCFA)
  • Office of the Assistant Secretary for Planning and Evaluation (ASPE)

Implementing Organizations:

  • The MEDSTAT Group, Inc.
  • Boston College Graduate School of Social Work


The Home and Community-Based Services (HCBS) Resource Network was established in September 1999 to bring the Federal Government, states, and persons with disabilities of all ages together to expand access to high quality, consumer-directed services in a cost-effective manner. The HCBS Resource Network supports state efforts to engage in collaborative planning and policy development, and focuses on practical and immediate next steps to expand access to supportive services in ways that are realistic, equitable and affordable.


The HCBS Resource Network is governed by a 12-member Project Board, equally comprised of representatives of state HCBS agencies, and consumers of HCBS services. The Board is currently co-chaired by Lex Frieden, Senior Vice President of the Institute for Rehabilitation and Research in Houston, Texas, and Lee Bezanson, Medicaid Director of New Hampshire. The federal sponsors of the HCBS Resource Network, ASPE and HCFA, work in partnership with the Project Board. The specific activities of the Resource Network are managed under a contract to the MEDSTAT Group, in collaboration with the Boston College Graduate School of Social Work.

The HCBS Resource Network engages in the following activities:

  • The HCBS Resource Network has developed a website that includes the following services:
    • An inventory of key resources on HCBS with abstracts of relevant articles.
    • Data tables including a wide range of expenditure data by state on a variety of Medicaid expenditures.
    • Extensive links to other websites providing information about consumer-direction, the Olmstead decision, and many other HCBS issues.
    • A "What's New" section that provides timely updates on new federal initiatives.
    • An interactive discussion forum in which states and stakeholders may discuss HCBS issues openly and raise questions about federal policy and initiatives.

  • The HCBS Resource Network works directly with states to provide technical assistance in developing or enhancing their HCBS systems. The following states have received or are currently receiving direct support from the HCBS Resource Network:
    • Alabama
    • Connecticut
    • Georgia
    • Kansas
    • New Mexico
    • Ohio

  • The HCBS Resource Network facilitated the systems change conference on "New Opportunities for Community Living" held in May 24-25, 2001 in Washington, D.C., and provided reimbursement to enable persons with disabilities to attend the conference.

The HCBS Resource Network is planning a number of activities to help states and stakeholders continue the development of HCBS, including the following:

  • Organizing and conducting national teleconferences on consumer-direction and systems change issues.

  • Organizing and hosting HCBS retreat meetings in which groups of states/stakeholders working on similar issues can discuss and problem-solve the issues with one another.

  • Sponsoring (or co-sponsoring) regional policy forums on HCBS issues.

  • Developing and disseminating useful information products regarding HCBS issues and best practices to all stakeholders.

  • Continuing to moderate the discussion forums, to update the resource inventory and to maintain other components of the website so that it will serve as an essential and timely resource for states and other stakeholders.

Contact Information:

Darlene O'Connor, Ph.D., National Project Director, HCBS Resource Network, Boston College Graduate School of Social Work, 401 McGuinn Hall, Chestnut Hill, MA 02467, (617)552-2809 or (508)867-8884, website: http://hcbs.org

Information on this project is available from ASPE's website: http://aspe.hhs.gov/_/office_specific/daltcp.cfm

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