The HCBS terms operators actually use. Defined in plain language.

Glossary

HCBS Home and Community-Based Services

The set of Medicaid-funded services that allow people with disabilities, including intellectual and developmental disabilities, to receive care at home or in the community instead of in an institution.

IDD Intellectual and Developmental Disabilities

The population we serve: people with conditions such as autism, Down syndrome, cerebral palsy, and other lifelong cognitive or developmental conditions. IDD-focused HCBS services are the core of the HCBS.AI network.

DSPD Division of Services for People with Disabilities (Utah)

The Utah state agency that administers HCBS Medicaid waivers for the IDD population. The 91172 Scope of Work is the current DSPD provider contract. Twenty-five agencies in our network operate under it today.

Medicaid waiver 1915(c) HCBS waiver authority

A federal program that lets states use Medicaid funding to deliver services outside of traditional institutional care. Each state operates its own waivers with state-specific rules, rates, and eligibility criteria.

80/20 Rule Federal CMS requirement, July 9, 2030 full enforcement

At least 80% of Medicaid payments for specified HCBS services (homemaker, home health aide, personal care) must go to direct caregiver compensation. State reporting starts July 9, 2028. Agencies that arrive at 2028 with sealed audit trails and pay-through documentation thrive in the consolidation.

EVV Electronic Visit Verification

A federally mandated system that confirms personal-care and home-health visits actually occurred, when, where, and by whom. Required by the 21st Century Cures Act. Lora handles it automatically on every visit.

Representative payee Social Security disability benefit administrator

A person or organization authorized by the Social Security Administration to receive disability benefits on behalf of someone unable to manage their own funds. Many HCBS clients have a rep payee. Agencies often serve as institutional rep payees for clients in their care.

Audit-defense citation Chapter-and-verse reference to a state regulation

When a state auditor questions an agency's practice, citations from the state's own rulebook are the strongest evidence. Lora generates citation packets on demand from your tamper-proof record. The auditor sees the rule, your interpretation, and the operational entry that backs it up.

Capsule chain Tamper-proof audit-evidenced record

Every operational event (a new SOP, an approval, a rep-payee transaction, a regulatory update absorbed) gets a cryptographically sealed entry. Entries link to one another so any tampering anywhere in the chain is detectable. Auditors call this an audit-evidenced or tamper-proof record. Same thing.

NOI Net Operating Income

The profit margin an agency keeps after paying caregivers, administrative costs, compliance overhead, and other operating expenses. Industry baseline NOI for HCBS agencies is 6 to 8 percent. The HCBS.AI network median is 20 percent. The math is on your dashboard.