Home and Community-Based Services (HCBS) waivers are designed to assist in supporting a participant in his or her home as an alternative to care in a licensed health care facility. HCBS waiver services include: Case management, transitional case management; community transition: private duty nursing; family training; environmental accessibility adaptations; waiver personal care; life sustaining medical equipment operation expenses, habilitation; respite care; and personal emergency response system.