Home and Community Based Services Final Rule

The Home and Community Based Settings (HCBS) Final Rule, a federal policy change announced by the Centers for Medicare and Medicaid Services (CMS), provides new opportunities for people with disabilities to have the kinds of community services they want.

Find information about the HCBS Final Settings Rule and resources in Pennsylvania and nationally to help you get the community life you want.

In the News


Proposed Heightened Scrutiny Information for Residential Service Locations

The purpose of this communication is to release for public comment the residential service locations that have been identified as requiring an onsite heightened scrutiny review from the Office of Developmental Programs (ODP) as well as the proposed tool that will be used in conducting the review.

Public Comment period ended 11:59 p.m. Monday, February 17, 2020.

Download related documents

What does community inclusion look like?

Visit the #Inclusion4AllPA campaign photo gallery


CMS Resources


Pennsylvania Resources


National Resources


Videos: What do self-advocates need to know about the HCBS Final Rule?

HCBS Overview - overview video about the Home and Community Based Settings Services rule and its various components


More Videos

  • About the Rule - essential information about how the rule will promote choices, independence, and community for people receiving supports
  • Residential Settings - learn about the various requirements placed on providers involving residential settings
  • Rights Restrictions - the impact of the HCBS Settings Rule on rights restrictions and modifications for people


Council on Quality and Leadership's The Realities of House Rules


Other States






New Jersey




This project is supported by a grant from the Pennsylvania Developmental Disabilities Council; in part by grant #1901PASCDD-02, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects with government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official ACL policy.


For more information, please contact
215-204-1356 | TTY: 215-204-1805

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