HCBS Settings Rule
Regulatory
Quality
Payment
Summary
In January 2014, the Centers for Medicare and Medicaid Services (CMS) issued a rule listing criteria that must be met by Home and Community-Based Services (HCBS) settings in which Medicaid/Medical Assistance (MA) waiver services are provided. The purpose of the rule was to enhance quality, add protections for consumers and to ensure services are being provided in the most integrated settings. The rule will create several new standards and expectations for providers of these services such as: location of settings, locked doors, access to food and roommate selection.
Sources of additional information
- CLICK HERE to find an overview, technical guidance and frequently asked questions from CMS.
- CLICK HERE to read South Dakota specific information.
Important dates and deadlines
2016-2017: DHS determines standards and expectations for Settings
March 2019: All Medicaid HCBS Settings must be in Compliance with the Rule
2018: Heightened Scrutiny Process to Determine Compliance
