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HCBS is the CMCS MDCT application for collecting state data related to Home- and Community-Based Services (HCBS) programs and performance. The collected data assists CMCS in monitoring, managing, and better understanding Medicaid and CHIP programs.

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Enterprise-CMCS/macpro-mdct-hcbs

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MDCT-HCBS

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HCBS is the CMCS MDCT application for collecting state data related to Home- and Community-Based Services (HCBS) programs and performance. The collected data assists CMCS in monitoring, managing, and better understanding Medicaid and CHIP programs.

HCBS are types of person-centered care delivered in the home and community which address the needs of people with functional limitations who need assistance with everyday activities. They are often designed to enable people to stay in their homes, rather than moving to a facility for care. The programs generally fall into two categories: health services (which meet medical needs) and human services (which support activities of daily living).

Table of Contents

Quick Start

Running MDCT Workspace Setup

Team members are encouraged to setup all MDCT Products using the script located in the MDCT Tools Repository. Please refer to the README for instructions running the MDCT Workspace Setup. After Running workspace setup team members can refer to the Running the project locally section below to proceed with running the application.

One time only

If you have run the MDCT Setup Script this section can be skipped

Before starting the project we're going to install some tools. We recommend having Homebrew installed if you haven't already to install other dependencies. Open up terminal on your mac and run the following:

  • (Optional) Install Homebrew: /bin/bash -c "$(curl -fsSL https://raw.githubusercontent.com/Homebrew/install/HEAD/install.sh)"

  • Install nvm: curl -o- https://raw.githubusercontent.com/nvm-sh/nvm/v0.37.2/install.sh | bash

  • Install specified version of node. We enforce using a specific version of node, specified in the file .nvmrc. This version matches the Lambda runtime. We recommend managing node versions using NVM: nvm install, then nvm use

  • Install yarn: brew install yarn

  • Install pre-commit on your machine with either: pip install pre-commit or brew install pre-commit

Setting up the project locally

If you have run the MDCT Setup Script this section can be skipped

  1. Clone the repo: git clone https://github.com/Enterprise-CMCS/macpro-mdct-hcbs.git
  2. Ensure you either have a 1Password account and have 1Password CLI installed. Alternatively, reach out to the team for an example of .env files
  3. In the root directory run pre-commit install

Running the project locally

In the root of the project run ./run local --update-env to pull in values from 1Password and run the project. Alternatively, if you do not have a 1Password account you will need to reach out to an MDCT team member for values for your .env . Then you can run ./run local to use a static manually populated .env file.

Logging in

(Make sure you've finished setting up the project locally above before moving on to this step!)

Once you've run ./run local you'll find yourself on a login page at localhost:3000. For local development there is a list of users that can be found at services/ui-auth/libs/users.json. That's where you can grab an email to fill in.

For a password to that user, please ask a fellow developer.

Running DynamoDB locally

In order to run DynamoDB locally you will need to have java installed on your system. The MDCT Workspace Setup script installs that for you.

If you cannot run the MDCT Workspace setup script see below for manual instructions:

M1 Mac users can download java from azul. Note that you'll need the x86 architecture Java for this to work. You can verify the installation with java --version. Otherwise install java from here.

To view your database after the application is up and running you can install the dynamodb-admin tool.

  • Install and run DYNAMO_ENDPOINT=http://localhost:8000 dynamodb-admin in a new terminal window

DynamoDB Local failed to start with code 1

If you're getting an error such as inaccessible host: 'localhost' at port '8000', some steps to try:

  • confirm that you're on the right Java version -- if you have an M1 mac, you need an x86 install
  • delete your services/database/.dynamodb directory and then run dev local in your terminal

Local Development Additional Info

Local dev is configured as a Typescript project. The entrypoint in ./src/run.ts manages running the moving pieces locally: the API, database, filestore, and frontend.

Local dev is built around the cdk setup which gets run locally by Localstack.

Local authorization uses Cognito from the main/master stack in dev. The credentials are injected locally by the ./run update-env command which fetches values from 1password and puts them into a gitignored .env file.

The postman folder contains a full API collection and environment for this application. See the README for more information.

Testing

Unit Testing

We use Jest for unit tests.

To run all frontend unit tests:

cd services/ui-src/
yarn test

To run all backend unit tests:

cd services/app-api/
yarn test

In either of these directories you can also check code coverage with

yarn coverage

Live reload all tests

yarn test --watch

Integration Testing

We use Playwright for integration tests. See the tests/playwright directory.

Accessibility Testing

We use axe and pa11y for primary accessibility testing.

Unit tests can use jest-axe, pa11y, and HTML Code Sniffer.

Integration tests can use cypress-axe and cypress-audit/pa11y.

Prettier and ESLint

We use Prettier to format all code. This runs as part of a Git Hook and invalid formats in changed files will cause the deploy to fail. If you followed the instructions above this is already installed and configured.

Most IDEs have a Prettier plugin that can be configured to run on file save. You can also run the format check manually from the IDE or by invoking Prettier on the command line.

npx prettier --write "**/*.tsx"

All changed files will also be checked for formatting via the pre-commit hook.

ESLint works in a similar manner for all code linting.

Github Action Script Checks

On a push to the repository or opening a pull request the deploy.yml file runs. This script sets up and does a number of things. For a simple push it's mostly checking code coverage.

Upon opening a pull request into the main branch the scripts will also trigger a Playwright E2E and an A11y step to ensure that the code quality is still passing the End-to-End and accessibility tests.

Deployments

This application is built and deployed via GitHub Actions.

Deployment Steps

Please Note: Do Not Squash Your Merge Into Val Or Prod When Submitting Your Pull Request.

We have 3 main branches that we work out of:

When a pull request is approved and merged into main the deploy script will spin up and upon completion will deploy to https://mdcthcbsdev.cms.gov/. If a user wants to deploy to val they simply need to create a pull request where Main is being merged into Val. Once that pull request is approved, the deploy script will run again and upon completion will deploy to https://mdcthcbsval.cms.gov/. So to quickly break it down:

  • Submit pull request of your code to Main.
  • Approve pull request and merge into main.
  • Deploy script runs and will deploy to https://mdcthcbsdev.cms.gov/.
  • Submit pull request pointing Main into Val.
  • Approve pull request and DO NOT SQUASH YOUR MERGE, just merge it into Val
  • Deploy script runs and will deploy to https://mdcthcbsval.cms.gov/.
  • Submit pull request pointing Val into Production.
  • Approve pull request and DO NOT SQUASH YOUR MERGE, just merge it into Production
  • Deploy script runs and will deploy to http://mdcthcbs.cms.gov/.

If you have a PR that needs Product/Design input, the easiest way to get it to them is to use the cloudfront site from Github. Go to your PR and the Checks tab, then Deploy tab. click on deploy, then click to exapnd the deploy section on the right. Search for Application endpoint and click on the generated site.

BigMac Kafka Integration

HCBS pipes updates from fieldData and the report object tables to BigMac for downstream consumption. To add a topic for a new report type, update the following locations:

  • deployment/topics.ts
    • Any new table with come with streaming (tables are defined here: deployment/data.ts)
  • services/app-api/handlers/kafka/post/postKafkaData.ts - Add the bucket and table names into the appropriate arrays. They will be parsed with their event types accordingly.
  • services/topics/createTopics.js - Declare the new topic names. Both the stream name for the bucket and table should be added here.

Architecture

Architecture Diagram

General Structure - React frontend that renders a form for a user to fill out, Node backend that uses Dynamo to store and validate forms. Dropdown and dynamic fields are not currently supported as nested child fields. All other field types are.

GitHub Actions Secret Management

  • Secrets are added to GitHub secrets by GitHub Admins
  • Development secrets are maintained in a 1Password vault

Copyright and license

License

See LICENSE for full details.

As a work of the United States Government, this project is
in the public domain within the United States.

Additionally, we waive copyright and related rights in the
work worldwide through the CC0 1.0 Universal public domain dedication.

About

HCBS is the CMCS MDCT application for collecting state data related to Home- and Community-Based Services (HCBS) programs and performance. The collected data assists CMCS in monitoring, managing, and better understanding Medicaid and CHIP programs.

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