In January 2014, the Centers for Medicare and Medicaid Services issued a final rule which sets a high bar for the definition of “community” for purposes of home and community-based services (HCBS), that individuals receiving HCBS have access to the community to the same degree as other individuals. The rule has an effective date of March 17, 2014. The rule’s impact is broad, affecting all HCBS waivers, state plans, and demonstrations across the country. This in-depth analysis explains the changes in the rule, focusing on the requirements for settings that receive Medicaid HCBS funding, including provider-controlled settings. Additionally, the analysis breaks down the requirements for person-centered planning and transition timeframes.
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