Home Services Program

The Home Services Program (HSP) was established in December 1979, to prevent the premature or unnecessary institutionalization of individuals with disabilities by providing services in the home that do not exceed the cost of comparable services in a nursing facility. The program is dedicated to promoting customer independence, their choice, and their control of services. The program's goals support the desires and abilities of individuals with disabilities by enabling them:

• to remain at home rather than in a nursing facility with real choices and options for quality care,
• to retain control over the services they receive, and
• to live self-directed lives that enable them to actively participate at home and in the community.

HSP is designed to allow eligible individuals in need of long-term care and who meet the criteria for disability as defined by the Social Security Act, to receive any or all the following services to remain in their homes:

FY 23 Highlights

• A total of 33,897 customers were served in the program at an average monthly cost of $2,127.
• The Home Services Program (HSP) received approval from Federal CMS on its renewal application for the Persons with Brain Injury Medicaid Waiver. The five-year renewal has an effective date of July 1, 2022.
• To remain competitive with market standards, agency provider rates were increased by 7.9% for Homemaker services and more than 25% for Home Health Agency Services to ensure provider capacity exists to meet the thousands of HSP customer who rely on these services.
• Identified and initiated the recovery of more than $1.78 million in overpayment for a total of 325 cases.
• Through restitution and repayment agreements, the State will largely be made whole for these overpayments.
• Terminated a total of 111 providers in connection with provider fraud, or due to the abuse, neglect or exploitation of a person with a disability as determined through an Adult Protective Services investigation.

BHCS Vision for FY24

In FY 2024, our goal is to ensure the continued growth of the Home Services Program to help individuals achieve and maintain their independence, to maintain timeliness of required assessments, to achieve long-term integration of select pandemic era policies and further invest in modernizing the program.

BHCS Program Spending

BHCS Operational Spending Overview