Home- & Community-Based Services (HCBS)

To fulfill a Presidential mandate, the Department of Health and Human Services established the New Freedom Initiative Workgroup to review efforts that have been initiated in response to the Olmstead decision, and to recommit and refocus the Administration's efforts in promoting the full participation of adults with disabilities in community life.

"Consumer-direction" is a philosophy and orientation to the delivery of home and community-based long-term care that puts informed consumers and their families in the driver's seat with respect to making choices about how best to meet their disability-related supportive service needs.

by: Laudan Y. Aron and Patrick T. Sharkey, The Urban Institute March 19, 2002

U.S. Department of Health and Human Services Consumer Directed Care and Nurse Practice Acts Susan C. Reinhard, RN, PhD Center for State Health Policy, Rutgers University June 2001 PDF Version: http://aspe.hhs.gov/daltcp/reports/2001/nursprac.pdf (38 PDF pages)

This Primer is designed to encourage use of the Medicaid program in a manner that minimizes reliance on institutions and maximizes community integration in a cost-effective manner.

This report reviews and summarizes the research literature on cost-effectiveness of home and community-based services. [32 PDF pages]

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Presentation given at the Gerontological Society of America presentation, November 1998. [26 PDF pages]