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
  
Appendix  P -MARYLAND REMEDIATION STRATEGIES (1).pdf
  
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Appendix A Residential Service Agencies.pdf
  
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Appendix B Assisted Living Programs.pdf
  
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Appendix C Medical Day Care.pdf
  
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Appendix D Community Pathways Waiver Program for Individuals with Developmental Disabilities 7.26.17.pdf
  
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Appendix E Home Care for Disabled Children Under a Model Waiver.pdf
  
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Appendix F Home and Community-Based Services Waiver for Individuals with Brain Injury.pdf
  
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Appendix G Home and Community-Based Options Waiver.pdf
  
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Appendix H Home and Community-Based Services Waiver for Children with Autism Spectrum Disorder.pdf
  
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Appendix I Home and Community-Based Options Waiver Intensive Behavioral Services for Children, Youth, and Families.pdf
  
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Appendix J Medical Day Care Facilities .pdf
  
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Appendix K DDA Regulations 8.1.17.pdf
  
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Appendix L Public Comments 2015.pdf
  
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Appendix M Public Comments 2016.pdf
  
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Appendix N- STP Public Comments March 2022.pdf
  
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Appendix N-Public Comments March 2022.pdf
  
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Appendix O Public Comments for Heightened Scrutiny 2022.pdf
  
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