Home and community based services hcbs provide opportunities for medicaid beneficiaries to receive services in their own home or community rather than institutions or other isolated settings these programs serve a variety of targeted populations groups such as people with intellectual or developmental disabilities physical disabilities . To compare long term care ltc for older adults delivered through home and community based services hcbs with care provided in nursing homes nhs by evaluating 1 the characteristics of older adults served through hcbs and in nhs 2 the impact of hcbs and nh care on outcome trajectories of older adults and 3 the per person costs of . Home and community based services for older adults is an essential primer for those working across the care continuum and seek to deliver person centered support so that all of us can live well in the place we call home gretchen alkema the scan foundation this volume offers a timely treatment of an evolving complex social phenomenon . Although 20 of adults 60 years and older receive community based supports and services cbss clinicians may have little more than a vague awareness of what is available and which services may benefit their patients as health care shifts toward more creative and holistic models of care there are . Home and community based services hcbs through marylands long term services and supports programs older adults and individuals with disabilities are able to access personcentered services and supports in their communities that are designed to improve their quality of life
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