The National Alliance for Direct Support Professionals, Inc. (NADSP) took the opportunity to inform CMS’ thinking around federal government interventions that would help improve access to Home and Community Based Services (HCBS).

In this document, NADSP shares its recommendations for specific steps CMS could take to strengthen the HCBS home care workforce, including establishing requirements, standards or procedures to ensure rates paid to home care providers are sufficient to attract enough providers to meet service needs of beneficiaries and that wages supported by those rates are sufficient to attract enough qualified home care workers.