Home and Community-Based ServicesProgram (HCBS)

The Home and Community-Based Services (HCBS) Program provides personal
care assistance to seniors and adults with disabilities, enabling them to remain in
their homes rather than move to nursing facilities. The In-Home Services (IHS)
program, also known as Home and Community-Based Services (HCBS), is similar
to the Consumer Directed Services (CDS) program, but unlike CDS, you do not
need to self-direct your own care. You may also have a family member working
for you. In-home services (IHS) are provided at no cost to you. If your income
exceeds the limit, ask about the Miller Trust program.

In-home services (IHS) include:
Personal Care: Assistance with activities of daily living
Homemaking: General assistance with housekeeping
Chores: Short-term, intermittent tasks necessary to maintain a clean,
sanitary, and safe home environment
Advanced Personal Care: Services related to activities of daily living,
specifically when such assistance requires the use of devices or
procedures due to altered body functions
Authorized Nurse Visits: Maintenance or preventative services provided by
a registered nurse (RN) or a licensed practical nurse (LPN) under the
supervision of an RN (must be authorized in conjunction with another
service)
Respite: Temporary relief for the caregiver of a dependent adult
Basic: Services provided to participants with non-skilled needs
Advanced: Services for participants with special care needs requiring a
high level of oversight
Nurse: Services for participants with skilled nursing needs
Case Management: Coordination and oversight of services
In-home personal care workers cannot be family members of the recipient for
whom personal care is to be provided. A family member is defined as a parent,
sibling, child by blood, adoption or marriage; spouse; grandparent or grandchild.
Consumers might have to pay a spend-down fee*

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