Program that supports the purchase of case management and other home and community based services as a means of helping people avoid premature institutionalization. Funding is usually through state and local resources, but may also include some federal dollars. The programs typically provide case management and, unless other funding sources are available, provide funding for and link program participants to existing home and community based services, home modification programs, assistive technology equipment, assisted living facilities or other supported housing options, and/or other needed services. Individuals must meet certain eligibility criteria as specified by the program and usually must have documentation from a physician stating that they are at risk for institutionalization.