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. Non medical home and community based services hcbs can allow older adults to remain in their homes and avoid long term care facilities a goal that is shared with hbpc providers and their patients assessing and addressing these non medical social needs requires coordination between medical providers and hcbs providers. 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 the program provides opportunities for community based . 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 nutrition services programs are designed to intervene on poor health related outcomes by addressing under nutrition and are critically important for older adults understanding how to provide these services in an efficacious and cost effective manner is necessary for justifying the programs existence and for obtaining
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