HCBS waiver services require the efforts of several entities. Each person or organization has a unique role that contributes to the success of waiver services. As a provider, you need to understand the roles and their importance in the process. Specifically, we will be talking about the roles and responsibilities of:
- Federal government
- State government
- County and tribes
- Managed Care Organizations (MCOs)
- Case managers and care coordinators
- Providers
- Service participants and legal representatives
- Legal guardians, public guardians and power of attorney

