Welcome to Our Table,

Welcome to DigitalHCBS.

Forty years ago, the disability field was driven by a clear sense of purpose. There was energy behind the work—a belief in community integration, normalization, and the right of people with disabilities to live full lives outside of institutions. Person-centered thinking wasn’t a compliance term yet; it was a value people were actively working to embed into everyday practice.

That spark is still here. It’s just harder to see.

Today, HCBS exists in a far more complex environment. Providers are balancing person-centered planning, rights protections, health and safety assurances, quality measures, and outcome reporting—often across multiple waivers, funding streams, and oversight bodies. Expectations have increased, but the infrastructure meant to support the work hasn’t kept pace.

Many organizations aren’t struggling because they don’t understand the HCBS Settings Rule, incident management, or documentation standards. They’re struggling because those requirements live across disconnected systems. Information is siloed. Data is duplicated. Compliance becomes reactive instead of continuous.

Another quiet shift has happened along the way. Vendors increasingly build the tools providers use and pay for, yet providers struggle their siloed systems. The same workflows are rebuilt. The same reports are manually reconciled. The knowledge gained through audits, monitoring, utilization reviews, and corrective action plans rarely becomes shared learning.

DigitalHCBS exists to create space outside of that fragmentation.

This site was built by someone working inside HCBS compliance, operations, and data—someone responsible for readiness, internal audits, and making sure documentation reflects the reality of services delivered. It’s grounded in lived experience, not theory.

Here, the focus is on shared understanding and alignment: Making sense of evolving HCBS expectations in plain language. Thinking about data and documentation across intake, service delivery, incident management, billing, and quality—not as separate functions, but as one system. Creating room for collaboration so providers aren’t independently solving the same challenges.

HCBS has always been about more than requirements or checklists. It’s about self-determination, dignity, and community.

The current challenge is to develop systems and share knowledge that demonstrate the incredible impact of HCBS.

DigitalHCBS is meant to be a place to support that effort, together.

Welcome.

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