What is the federal HCBS Settings Rule?

In January 2014, the federal Centers for Medicare & Medicaid Services (CMS) released a new rule regarding home and community-based services (HCBS) which took effect March 17, 2014. The rule requires that people who receive home and community-based services and supports funded through Medicaid must receive those services and supports in settings that meet specific standards. The standards are designed to ensure the settings are truly home and community-based. This means that individuals receiving services in these settings have full access to the greater community and can enjoy all of the benefits of community living. The overall goal is to ensure all HCBS programs provide an experience that is distinctly different from what an institution offers [e.g. a hospital, nursing facility or intermediate care facility for people with intellectual disabilities (ICF-IID)]. Information and updates on settings will be made available here.

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