Home and Community-based Service

Who is eligible:

  • Age: No age limit
  • Qualifications:
    • No “Related Condition”: IQ < 69
    • “Related Condition”: IQ < 75
  • Function ability: Level of Care I for ICF-MR

Unique features:

  • Living arrangements: Personal home (family or own) OR facility (aka group home)
  • Personal care component: 4 options, included 2 options in home & 2 options in facility with 4 person maximum per house…
    • {Home}Supported Home Living: Provider paid hourly rate
    • {Home}Foster/Companion Care: Parents/relative paid daily rate to provide assistance to ADULT individual living with them
    • {Facility}Residential Support Services: Group home paid daily rate to provide 24-hour awake staff
    • {Facility}Supervised Living: Group home paid daily rate to provide 24-hour staff (who can sleep at night)
  • Social work: Assessment and direct therapeutic intervention. Training and consultation with family/provider.

Common features: (click for explanations)

  • Case Management
  • Nursing Services
  • Respite – only part of Supported Home Living option
  • Day Habilitation
  • Supported Employment
  • Occupational therapy
  • Physical therapy
  • Speech therapy
  • Nutritional therapy
  • Psychological/Behavioral therapy
  • Adaptive Aids
    • Dental service
  • Minor Home Modifications
  • Unlimited Prescriptions

Providers involved:


2 Responses to HCS

  1. Ellen Patterson says:

    I need more information on HCS group home services for two disabled individuals at my church. They are IDD and semi independent with supports and services but would have a better quality of life in a group home setting. They cannot pay the full freight cost of group home living themselves, and would need the financial support that Medicaid offers.


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