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: 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.

HCBS Overview

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.

Residential Settings

Find out about the various requirements placed on providers involving residential settings.

Rights Restrictions

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? 

Resources: Fact Sheet on House Rules from CQL, July 30, 2019

FAQHCBS 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:

HCBS Settings Rule 3-Part Toolkit:

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:

National Core Indicators (NCI) data: 2015-16 Evidence for HCBS Requirements & Revised Assurances