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.​
 
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