Home and Community Based Services
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Optimize the HCBS Waiver Process by Accessing, Using, and Sharing Case File Data

Tyler's Home and Community Based Services solution is a software application specifically designed to support HCBS programs. It promotes quality and efficiency by providing timely information to self-directed program participants, their representatives, counselors and nurses, as well as fiscal employment and income maintenance agency providers. Because every state and program is different, the solution is designed so system administrators can continuously configure it to meet evolving program needs without requiring code changes.
  • Give administrators and providers timely and consistent case information with secure, web-based access

  • Allow self-directed benefits participants to view and contribute to their files through an optional portal

  • Expedite processing of claims to achieve faster service delivery

  • Track services via the support plan and gain insight into program effectiveness

Role-Based HCBS Access and Activities

To optimize the use of home and community based waivers, all HCBS stakeholders need the ability to access, use, and share case file data — all to improve individual outcomes and program success.

  • Participants need online access to their case files, service and support options, and account balances.
  • Consultants and nurses must be able to manage caseloads and collaborate with participants and providers.
  • Participants and their authorized representatives can access the system via a secure, user-friendly portal to view and comment on their file, complete required forms, collaborate on spending plans, and monitor individual budgets.
  • Participants can also search the database of approved care providers and consulting agencies, FEA or IM entities, to select the right resources for their needs.

Comprehensive Program Administration

Shared data ensures all stakeholders are on the same page, throughout every stage in the HCBS life cycle.

  • Counselors and consultants supporting self-directed benefits programs can effectively manage participant cases from referral through determination, supporting goals, plans, services, and outcomes.
  • They can conduct intakes and assessments, maintain contact information, set alerts and reminders, and generate and manage documents and correspondence.
  • Standard reports and an ad hoc reporting tool make it easy to monitor individual status and aggregate program performance.

Want more information?

Download Filling the Gaps in Medicaid Modularity to learn more.


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