Welcome to the Centers for Medicare & Medicaid Services (CMS) Training for Case Managers: Home and Community-Based Services (HCBS) Waiver Assurances to Improve Quality. 

My name is Sharon Foerster and I have been a Director at an HCBS Case Management agency for 6 years.

As case managers we all know the needs of the individuals we serve and their desire to live as independently as possible in the community. We also know that it’s often the quality of the services and supports that we provide that make that possible.

But you may not know that a state providing HCBS waiver services must make specific assurances to the federal government in order to provide home and community-based service options. It’s only by making those assurances – and then proving we’ve complied with them – that we can continue to provide our services in home and community-based settings.

That’s why it's important to know more about the federal assurances and what they mean to you and to the people you serve. In this course you’ll learn what the federal Assurances mean, how we comply with the Assurances, and how they relate to your job and to the health and welfare of the people you work with.

When you finish the course you will be able to explain:

I hope you’ll find the information on HCBS quality and the federal assurances as helpful as we have in my agency. But before discussing the six Assurances, it might be helpful to review the history of the Assurances and why they are so critical to what you do as a case manager.