Welcome!

HCBSadvocacy.org is your one-stop location for all things related to the HCBS Settings Rule. It is designed to help individuals in the aging and disability community access federal and state updates on the rule as well as advocacy resources that can be used to promote full enforcement in states.

The website was originally created by the three national Developmental Disabilities (DD) Network Partners that represent the entities authorized in the DD Act and has grown to include several disability rights organizations.

What You Should Know

ASAN’s “Easy to Read” HCBS Settings Rule Toolkit answers questions about the HCBS Settings Rule, including 1.) What is community living? 2.) What is an institution? 3.) What are home and community-based services (HCBS)? 4.) What does the HCBS Settings Rule say? 5.) What rights does the HCBS Settings Rule give me? And 6.) What rules do HCBS providers have to follow?

We’ve created this “What You Should Know” document to provide advocates with detailed information about the new rule and action steps to fully participate in its implementation.

Why Your Advocacy on the Settings Rule is Important

The HCBS Settings Rule can improve community-based services and supports for people with disabilities and the elderly for decades to come. A key requirement of the Settings Rule is that the States hear from people with disabilities and the elderly about their current services – what they like and how community services can be improved.

What’s New

CMS Heightened Scrutiny Review Pilot Findings

Open Comment Periods

See the state resources page for instructions on how to submit your comments.