Home and community-based services (HCBS) are a type of person-centered care delivered in the home and community that address the needs of people with functional limitations who need assistance with daily tasks, skilled nursing care or other unskilled care such as socialization or transportation.
The services are appropriate for patients managing the challenges of a chronic disease, recovering from an illness or injury, or having challenges with maintaining independence. HCBS caregivers are trained professionals who can help people achieve a better quality of life, maintain independence or improve safety in daily activities.
Care can be provided 24 hours a day, seven days a week, 365 days a year – in the comfort and privacy of a home or other environment.
What types of services does HCBS provide?
- Assistance with grooming, bathing, and dressing
- Medication reminders
- Meal preparation and assistance with feeding
- Light housekeeping
- Respite care
- Caring companionship and socializing
- Errand services (grocery store, post office, etc.)
- Transportation (doctor’s appointments, church services, hair appointments, etc.)
- Mobility, transferring, and positioning assistance
- Toileting or incontinence care
- Oral hygiene
- Sitting with hospitalized patients
Skilled nursing services:
- Wound care
- Enteral and parenteral feedings
- Medication management
- Nutrition counseling
- Medication injections
- IV therapy
- Catheter care and changes
- Oxygen use and safety
- Use of air compressor, hand-held nebulizer, and MDI
- Ventilator-dependent children and adults
How do I pay for HCBS?
Home and community-based services are covered through Medicaid or Medicare, long-term care, private pay, and some medical insurances.