Fulfilling the Vision of Inclusive and Accessible Home and Community-Based Services (HCBS)

Delivering on the promise of greater choice and community inclusion for people with disabilities and older adults is more important than ever. To achieve this vision, Mathematica collaborates with government agencies and community organizations to improve programs for older adults and those with behavioral health needs or intellectual, developmental, or physical disabilities. We work on some of the most pressing HCBS policy and delivery issues: service access and quality, direct care workforce shortages, housing capacity, and person centered planning.

Our HCBS Solutions

We collaborate with our partners to create informed, open, and accountable solutions that help communities thrive. Our expertise spans long-term services and supports (LTSS) with a focus on HCBS at the state and federal levels. Our staff are also experts in HCBS-adjacent programs such as vocational rehabilitation, workforce development, and care integration for individuals who receive both Medicare and Medicaid benefits. Our offerings include:

Medicaid Access and Managed Care Final Rules

The Centers for Medicare and Medicaid Services’ (CMS) final rules for Ensuring Access to Medicaid Services (Access Rule) and the Medicaid and Children's Health Insurance Program (CHIP) Managed Care Access, Finance, and Quality Rule (Managed Care Rule) reflect the biggest regulatory changes to Medicaid and CHIP in nearly a decade. Collectively, these rules create opportunities to move our HCBS systems forward. Explore our blog posts to the right to learn some strategies for implementing new rules and using data to advance community integration.

Connect with Our Experts

Our HCBS experts engage in this work because we believe that everyone should have the choice and ability to participate in their communities. Collaborate with our team to make this goal a reality. Contact us at HCBSPractice@mathematica-mpr.com to get started.

Jenna Libersky

Jenna Libersky

Principal Researcher

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Patricia Rowan

Patricia Rowan

Principal Researcher

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Noelle Denny-Brown

Noelle Denny-Brown

Principal Researcher

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Andrea Wysocki

Andrea Wysocki

Senior Researcher

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Kent Davis

Kent Davis

Principal Solution Architect

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Erin Weir Lakhmani

Erin Weir Lakhmani

Principal Researcher

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Debra  Lipson

Debra Lipson

Senior Fellow

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Gretchen Hammer

Gretchen Hammer

Senior Fellow

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