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This project has three discrete aims:

Aim 1) To define the scope of HCBS practices and specific service-delivery competencies by conducting a literature review.

Aim 2) To identify promising HCBS practices and key service-delivery competencies by interviewing HCBS quality measurement thought leaders, providers, participants, facilitators, payers and other key informants as suggested by an advisory committee.

Aim 3) To describe how HCBS providers deliver best HCBS practices and assure that staff demonstrate service-delivery competencies. We will develop case studies of exemplary HCBS organizations that serve people with intellectual and developmental disabilities, chronic and persistent mental health needs and older adults with physical disabilities. Nominations will be solicited from HCBS organizations and providers on individuals, agencies or organizations that provide exceptional HCBS.