The direct service workforce crisis in community services is real. There’s more to the crisis than meets the eye. Addressing it in effective ways involves fully and accurately understanding the issues behind the crisis - including what data can tell us – as well as creatively applying innovative solutions. State Medicaid programs can consider using Value-Based Purchasing as one innovative solution. Up to this point, VBP has been used frequently with Managed Care Organizations and acute/primary health care providers, but has seen little use with community service providers serving people with disabilities. There seems no more important a focus for Value-Based Purchasing than workforce quality, which depends on the ability of providers to recruit, retain and ensure the competency of direct service professionals. Join this session to learn more about Value-Based Purchasing and about the Tennessee Medicaid agency’s unfolding approach to using Value-Based Purchasing as a tool to address the HCBS workforce crisis, including how they are using evidence-based practices and competency-based education strategies to inform their efforts. This presentation will include a discussion on the creation of a workforce development curriculum, based on CMS’s 2014 Direct Support Worker Core Competencies and utilizing a competency-based education approach.