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United States

Understanding home and community-based support

Home and community-based services (HCBS) can help eligible people receive long-term supports in everyday community settings. There is no single national I/DD application or identical waiver benefit. States design programs within federal requirements; target populations, financial criteria, service options and enrollment limits can differ.

Start with the official developmental-disability agency for your state. Ask which program fits the person’s age and support needs, what documentation is required, whether a separate Medicaid determination is needed, and how enrollment or waiting-list status is communicated. Keep copies and submission receipts. An agency referral, disability diagnosis or Medicaid card alone does not establish that a particular service or provider is funded. Ask for the decision and next steps in an accessible format.

Official sources

Sources checked:

Program rules and dates can change. Read the linked official guidance before applying or changing support arrangements.

These educational resources cover many locations. They do not describe Fusa’s service area, accepted funding or an individual’s eligibility. Confirm those details separately with the agency and the responsible program.

Understanding home and community-based support | Fusa Behavioral Health