HCBSadvocacy.org is a continuously evolving platform for aging and disability communities to post information and resources regarding the new HCBS settings rule and what each state is doing to meet these requirements. Click on “State Resources” to see dates & deadlines, state documents, news, and other information from your state.
The HCBS Advocacy Coalition, which includes several national organizations, strongly supports implementation of the HCBS Settings Rule because it is a vital part of the broader effort to promote community integration for people with disabilities. People with disabilities deserve the same rights to make informed choices and have access the broader community and integrated employment just as anyone else. The HCBS Settings Rule helps support this outcome.
Our Mission: The HCBS Advocacy Coalition supports the full inclusion of people with disabilities and aging populations in the community. We work collaboratively to help states fully comply with the HCBS Settings Rules and assist stakeholders in understanding the rule. These efforts are essential to achieving systems change that results in truly integrated settings, where people with disabilities can live, work, receive services, and fully engage in community life.
NEW: Guidance from the Center for Medicare & Medicaid Services (CMS) on Heightened Scrutiny Reviews
- NEW: HCBS Advocacy Coalition Statement on new CMS Heightened Scrutiny Guidance
- Slide deck from the CMS Training on the new heightened scrutiny guidance (March 28, 2019)
NEW: ACL and CMS launched the National Center on Advancing Person-Centered Practices and Systems (NCAPPS). NCAPPS will assist states, tribes, and territories to transform their long-term care service and support systems to implement HHS policy on person-centered thinking, planning, and practices. States, tribes, and territories can apply for technical assistance through an application available online. The deadline for technical assistance applications is February 12, 2019. Completed applications should be submitted to NCAPPS@acl.hhs.gov.
HCBS Settings Webinar Series: Promising Practices in State Approaches to Implementing Federal Criteria. ACL, in partnership with the Centers for Medicare & Medicaid Services (CMS) and other national partners, is hosting a three-part technical assistance webinar series highlighting innovative strategies and approaches states are taking to effectively implement the federal settings criteria for home and community-based services (HCBS). The webinar series is intended to help ACL’s networks, partners, and external stakeholders identify strategic ways to engage in their state’s ongoing HCBS systems transformation efforts.
Slide deck from part three of this webinar series, from Dec.13th, “Ongoing HCBS Systems Change Before & After STP Final Approval” and a recording of the webinar may be downloaded here.
Slide deck from part two of this three part webinar series, Nov. 29th on “Promising State Strategies for Working with Providers to Meet the HCBS Settings Criteria & Promote Optimal Community Integration” and a recording of the webinar may be downloaded here.
Slide deck from part one of this 3 part webinar series held on November 8, 2018: Innovative State Approaches to Promoting Compliance with the Federal HCBS Settings Criteria and a recording of the webinar may be downloaded here.
Watch an overview video about the Home and Community Based Settings Services rule and its various components.
About the Rule
View essential information about how the rule will promote choices, independence, and community for people receiving supports.
Find out about the various requirements placed on providers involving residential settings.
Learn about the impact of the HCBS Settings Rule on rights restrictions and modifications for people.
A Call To Action
Discover how to share information about the rule for providers and people receiving supports.
What is the Home & Community Based Settings (HCBS) Rule?
Want to Learn More?
FAQ – HCBS Settings Rule & What is Required, February 2018
Easy to follow guides on learning about the Rule & how to advocate for yourself or someone you know:
- A Self-Advocates Guide to HCBS Advocacy, 2018
- Assisting People with Developmental Disabilities to Advocate for their HCBS Services, 2018
HCBS Settings Rule 3-Part Toolkit:
- 1) What You Should Know
- 2) Settings Presumed to be Institution & the Heightened Scrutiny Process
- 3) How to Advocate for Truly Integrated Community Settings – Full Version
Timeline Update – Extension of Transition Period for Compliance: Please note this extension is provided for compliance of settings, which is now extended to March 2022. The deadline for Final Statewide Transition Plan (STP) approval is still March 2019: Click here to read CMS announcement on deadline extension
Guidance from CMS:
- HCBS Planned Construction of Presumed Institutional Settings
- Medicaid Beneficiaries in HCBS who Exhibit Unsafe Wandering or Exit-Seeking Behavior
- Implementation of the Community First Choice State Plan Option
National Core Indicators (NCI) data: 2015-16 Evidence for HCBS Requirements & Revised Assurances
2017 Family and Individual Needs for Disability Supports (FINDS) Survey: The goal is to learn more about the experiences of parents and family members who provide support to a family member with an intellectual or developmental disability.