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    Maryland Department of Health
    Home and Community-Based Services

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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.​
     
    Type
      
    Name
      
    Modified
      
    Content Type
      
    Appendix P -MARYLAND REMEDIATION STRATEGIES (1).pdf
      
    		2/10/2023 3:38 PMDocument
    Appendix A Residential Service Agencies.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix B Assisted Living Programs.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix C Medical Day Care.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix D Community Pathways Waiver Program for Individuals with Developmental Disabilities 7.26.17.pdf
      
    		7/26/2017 2:16 PMDocument
    Appendix E Home Care for Disabled Children Under a Model Waiver.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix F Home and Community-Based Services Waiver for Individuals with Brain Injury.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix G Home and Community-Based Options Waiver.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix H Home and Community-Based Services Waiver for Children with Autism Spectrum Disorder.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix I Home and Community-Based Options Waiver Intensive Behavioral Services for Children, Youth, and Families.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix J Medical Day Care Facilities .pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix K DDA Regulations 8.1.17.pdf
      
    		8/1/2017 4:40 PMDocument
    Appendix L Public Comments 2015.pdf
      
    		7/20/2017 1:40 PMDocument
    Appendix M Public Comments 2016.pdf
      
    		8/1/2017 4:40 PMDocument
    Appendix N- STP Public Comments March 2022.pdf
      
    		11/14/2022 12:20 PMDocument
    Appendix N-Public Comments March 2022.pdf
      
    		1/27/2023 4:55 PMDocument
    Appendix O Public Comments for Heightened Scrutiny 2022.pdf
      
    		11/14/2022 12:20 PMDocument

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