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​On this page you will find information from the Centers for Medicare and Medicaid Services (CMS), national-level advocacy resources on Home and Community-Based Services (HCBS) and other helpful information.

Centers for Medicare and Medicaid Services Resources

Fact Sheet – 1915(c)
Summary of Key Provisions of the 1915(c) Home and Community-Based Services (HCBS) Waivers Final Rule.
Fact Sheet – 1915(i)
Summary of Key Provisions of the Final Rule for 1915(i)Home and Community-Based Services (HCBS) State Plan Option.
FAQs - CMS Guidance re: Memory Care

Questions and answers from CMS on how regulatory requirements can be met by settings providing HCBS to individuals who exhibit unsafe wandering or exit-seeking behavior; and describing some options for HCBS Stakeholder education and consideration.​

FAQs – HCB Settings
Questions and answers regarding final regulations of Home and Community-Based Settings - Public notice and comments.
FAQs - Planned Construction and Person-Centered Planning - Mods to HCBS Settings Criteria
CMS HCBS Final Regulations Questions and Answers (FAQs) regarding Home and Community-Based Settings on (a) Planned Construction of Presumed Institutional Settings and (b) Person-Centered Planning Provisions and Modifications to HCBS Settings Criteria
Final Regulations
This rule describes Medicaid coverage of the optional state plan benefit to furnish home and community based-services and draw federal matching funds.
Final Rule Webinar Presentation
The presentation of the final Medicaid HCBS rule.
Final Rules Q&A
State Plan Home and Community-Based Services, Five-Year Period for Waivers, Provider Payment Reassignment, Setting Requirements for Community First Choice, and Home and Community-Based Services Waivers.
HCBS 1915(c) Compliance Flowchart
Steps to compliance for HCBS settings requirements in a 1915(c) waiver and 1915(i) SPA.
Heightened Scrutiny Process
Incorporation of heightened scrutiny in the standard waiver process.
Information Bulletin on Employment Services
Updates to the §1915 (c) Waiver Instructions and Technical Guide regarding employment and employment-related services.
Information Bulletin on Extension for HCBS
Extension of Transition Period for Compliance with Home and Community-Based Settings Criteria​.
Information Bulletin on Final Regulations
Final Rule - State Plan Home and Community-Based Services, Five-Year Period for Waivers, Provider Payment Reassignment, Setting Requirements for Community First Choice, and CMS Home and Community-Based Services Waivers.
Overview of Regulation
Overview and key provisions of the final rule.
Questions to Assist State Assessments of Non-Residential HCBS
Exploratory questions to assist states in assessment of non-residential Home and Community-Based Service settings.
Questions to Assist State Assessments of Residential HCBS
This optional tool is provided to assist states in assessing whether the characteristics of Medicaid Home and Community-based Services, as required by regulation, are present.
Requirements for HCB Settings
Regulatory requirements for Home and Community-Based Settings affecting 1915(c) and 1915(i); and listing Settings that are not Home and Community-Based, and Settings that are presumed to have the qualities of an institution.
Settings That Isolate
Guidance on settings that have the effect of isolating individuals receiving HCBS from the broader community.
Statewide Transition Plan Toolkit
Statewide Transition Plan Toolkit for Alignment with the Home and Community-Based Services (HCBS) Final Regulation’s Setting Requirements.

National and Other Resources

DOJ Civil Rights Division
The Civil Rights Division of the Department of Justice works to uphold the civil and constitutional rights of all Americans, particularly some of the most vulnerable members of our society.
HCBS Advocacy Coalition

Posts from aging and disability communities on HCBS setting rule information and resources/steps each state is making to comply with the new rules.​

Just Like Home: An Advocate’s Guide to Consumer Rights in Medicaid HCBS
This guide provides consumers, advocates and other stakeholders with information regarding multiple facets of the new standards, including consumer rights in HCBS, and the guidelines for determining which settings are disqualified from HCBS reimbursement.
Justice in Aging (formerly National Senior Citizens Law Center)
Justice in Aging is the opportunity to live with dignity, regardless of financial circumstances—free from the worry, harm, and injustice caused by lack of health care, food, or a safe place to sleep.
The Arc's "What You Need to Know"
The 2014 Federal Home and Community-Based Services Regulation - What You Need to Know


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