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Home- and Community-Based Services

Effective March 17, 2014, the Centers for Medicare and Medicaid Services have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services. The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated and that support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive HCBS. These changes will maximize the opportunities for participants in HCBS programs to have access to the benefits of community living and to receive services in the most integrated setting.

The federal citation for the new rule is 42 CFR 441.301(c) (4)-(5), and Section 441.710(a)(1)(2). More information on the rules can be found on the CMS website at: CMS Home- and Community-Based Services.

For questions regarding HCBS, please email:

General information

HCBS trainings

Slides available upon request at or 317.232.7800.

Rules and regulations