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CMS Issues New Guidance on State Implementation of Home and Community-Based Services

Posted on Sunday, March 24, 2019 7:37 PM

This week, CMS issued updated guidance to State Medicaid Directors on implementation of the 2014 Home and Community Based Services (HCBS) regulation. 

The 2014 regulation and related guidance sought to define the characteristics of settings that were community-based, in contrast to those that may have the qualities of an institution.  The original regulation also required states to develop a transition plan to ensure that all settings receiving certain Medicaid funding met federal HCBS standards.  As a result of concerns raised by states and other stakeholders about this process, CMS granted a three-year extension of that transition period in 2017, extending the date by which states must demonstrate compliance from March 2019 to March 2022. 

“Even well-intentioned policies from Washington often lack the flexibility needed to work for every state, community, setting, or family,” said CMS Administrator Seema Verma. “The implementing guidance issued under the prior administration was simply too prescriptive and unfairly singled out certain settings, causing unnecessary anxiety for many beneficiaries, families and providers. We believe our revised guidance strikes the appropriate balance to protect individual choice while maintaining the integrity of home and community-based funding.”

Click here for the full press release

Source: CMS


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