Established under Section 2176 of the Omnibus Reconciliation Act; permit states to offer, under a waiver, a wide array of home and community-based services that an individual may need to avoid institutionalization. These programs offer different choices to some people with Medicaid such as case management, homemaker, home health aide, personal care, adult day health care, rehabilitation, respite care, and other services. Those that qualify may obtain care in their home and community so that they can stay independent and close to family and friends. HCBS programs help the elderly and disabled, mentally retarded, developmentally disabled, and certain other disabled adults. These programs give quality and low-cost services.