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    Home and Community-Based Programs Rule Change Overview

    ​​​​​​​​​​​​​​​​​​​The Centers for Medicare and Medicaid Services (CMS) issued a Home and Community-Based Services (HCBS) final rule on January 16, 2014, which came into effect on March 17, 2014. The new rule applies to both residential and non-residential settings and changes the standards by which states are allowed to pay for HCBS. Highlights of the new rule include the following:

    1. Ensuring that individuals have been given choices regarding their setting options.
    2. Guaranteeing individuals’ rights of privacy, dignity, respect, and freedom from coercion and restraint.
    3. Optimizing autonomy and independence in making life choices.
    4. Facilitating choice in services and those who provide it.​
    Content Type
    Folder: 2017 Community Settings Meeting Minutes
    4/18/2017 3:22 PMFolder
    Folder: A - Transition Advisory Team Meetings
    6/11/2015 1:41 PMFolder
    Folder: Appendices 1-14
    5/10/2017 9:07 AMFolder
    Folder: Appendices A-O
    11/14/2022 12:19 PMFolder
    Folder: B - HCBS Final Rule Transition Plan Comments
    9/6/2016 10:21 AMFolder
    Folder: C - Draft Transition Plan
    6/24/2015 1:25 PMFolder
    Folder: D - Introductory Final Rule Discussion
    6/11/2015 2:05 PMFolder
    Folder: DDA
    4/18/2017 3:20 PMFolder
    Folder: E - Preliminary Survey Information
    6/11/2015 2:08 PMFolder
    Freedom of Choice Form 11.15.pdf
    7/14/2017 3:13 PMDocument
    Folder: May 19, 2017 Webinar Follow-Up
    5/25/2017 8:46 AMFolder
    MD Initial Approval Letter.pdf
    8/2/2017 3:00 PMDocument
    MD State Transition Plan 7.26.17.pdf
    7/26/2017 2:17 PMDocument
    MDCTransmittalNo.86_Freedom of Choice.pdf
    7/14/2017 3:13 PMDocument
    Medicaid HCBS Codebook and Analysis Scheme.xls
    1/27/2017 9:41 AMDocument
    Memo Brain Injury Providers Community Settings 0417.pdf
    4/24/2017 4:07 PMDocument
    Folder: Provider Transformation
    4/27/2017 8:37 AMFolder
    Sample CSQ Current.pdf
    7/5/2017 1:32 PMDocument
    Folder: Stakeholder Notes
    9/20/2016 11:16 AMFolder
    State Transition Plan August 2016.pdf
    7/21/2017 1:13 PMDocument
    Therapeutic Integration Public Comment for State of Maryland_01.04.23.pdf
    1/4/2023 2:54 PMDocument
    Folder: Workgroups
    4/25/2017 4:36 PMFolder