Home and Community-Based Services

Area Agencies on Aging and Title VI Native American aging programs offer a wide range of services and supports targeted to assist older adults and, increasingly, people of all ages with disabilities live independently in their homes and communities—typically referred to as home and community-based services (HCBS).

HCBS refers to services and supports that are provided to consumers in their homes or offered in the community including home-delivered meals, home health care, homemaker/chore services, transportation, caregiver support services and much more. (View a list of HCBS categories and definitions.)

Because HCBS costs a fraction of the cost of institutional care options like nursing homes and skilled care facilities, bringing services to people where they live helps them save their own and government dollars, making this a more sensible approach from a fiscal and human perspective.

Historically, AAAs and Title VI Native American aging programs in each local community foster the development and coordination of these critical HCBS to older adults and their caregivers. With leadership from the State Units on Aging, AAAs and Title VI programs work with over 20,000 service providers and vendors nationwide to deliver and monitor the quality of these service on a nationwide basis. This collective network known as the Aging Network, and the resulting system of supports they coordinate and provide are critical to assisting people age successfully, where they want to—at home and in the community.