In 2014, the Centers for Medicare & Medicaid Services finalized a rule establishing new requirements for settings where Medicaid home- and community-based services (HCBS) are delivered. The intent of the rule is to ensure that HCBS settings are different from institutional settings, including being integrated into the community. Under the rule, states must develop implementation plans and determine which providers meet the new requirements. HCBS providers must comply with these requirements by March 17, 2022, or they will lose eligibility for Medicaid HCBS payment.
This presentation provides an overview of the HCBS settings rule, describes the status of federal and state implementation activities, and summarizes the results of interviews with federal and state officials, beneficiary advocates, and provider associations.