Where the program sits
HES is part of the Assistive Technology benefit in OPWDD's HCBS 1915(c) waiver. It took effect on October 1, 2023. People who live in a non-certified home — or are moving to one — can use it.
The purpose, in the program's own words
HES provides funding for devices and supports/services for people who do not live in certified settings to address an identified goal in their Life Plan and decrease or minimize the need for other Medicaid services. HES promote inclusion in the community and/or increase the person's safety and independence in the home. HES empower a person to live in the most integrated setting possible with less reliance on or the deferral of paid staff for supervision and/or assistance.
The independence lens
That paragraph sets the program's direction. HES exists to grow independence — not to maintain a status quo, and not to compensate for caregiver fatigue. If a technology lets someone do something tomorrow that they need a person beside them for today, it's a candidate. If it only makes the current arrangement more comfortable, it usually isn't.
What it isn't
- An open budget for devices. Every item ties to a goal in the Life Plan.
- An entitlement everyone qualifies for — there are clear eligibility rules.
- A path to HCBS waiver enrollment on its own — HES alone doesn't meet the "reasonable indication of need" test.