Community Impact Report Builder for HCBS and Human Services Providers

Community Impact Report Builder (Beta Version 1)

This free beta tool helps HCBS, IDD, behavioral health, home care and human services providers create a structured community impact reporting framework with suggested KPIs, evidence sources, governance prompts, funder-ready wording and a simple community impact readiness score.

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Organization Name Service Type HCBS / Community-Based Support IDD Services Autism Services Behavioral Health Services Home Care / Personal Care Services Supported Employment Housing Support Aging Services Other Human Services Provider Your Role Please select... Provider Manager / Program Manager Provider Executive / Senior Leader Quality / Compliance Lead Grant / Proposal Lead Medicaid / HCBS Professional State Agency / County Professional Managed Care Organization Professional Commissioner / Funder Consultant Other Prefer not to say Organization Type Please select... Community-Based Provider Nonprofit Provider For-Profit Provider State Agency County / Local Government Managed Care Organization Foundation / Grant Funder Consultancy Other Prefer not to say Funder / Contract Type Medicaid / HCBS Waiver Managed Care Contract State Agency Contract County / Local Government Contract Grant Funded Foundation Funded Housing / Support Contract Other Contract / Funding Value Band Under $100k $100k–$500k $500k–$1m $1m+ Current Evidence Maturity Limited evidence currently available Some evidence collected inconsistently Regular reporting in place Strong governance and audit trails in place Main Community Impact Priorities Total Employees Employees Recruited Locally Internships / Apprenticeships / Work Placements Created Annual Local Supplier Spend ($) Community Projects Supported Volunteer / Community Benefit Hours Environmental Sustainability Actions Generate Community Impact Report

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