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.
Statement by HCBS Advocacy Coalition Regarding Further Delay of the Home and Community Based Settings Rule (7/14/2020):
"While CMS invokes the COVID-19 pandemic as justification for extending the Settings Rule, we disagree. In fact, the current crisis makes the need for strong implementation of the Rule, and the provision of home and community-based services, even more clear. The COVID-19 pandemic has laid bare the risks of large congregate settings and made the Rule's focus on more individualized supports in smaller and non-disability specific settings more important than ever."
Download PDF of full statement
Updated guidance on Home and Community-Based Services regulation bulletin via Medicaid.gov 3/22/2019
Statement of HCBS Advocacy Coalition Regarding Guidance from the Center for Medicare and Medicaid Services Regarding the HCBS Settings Rule (PDF)
"Even as we are pleased to see CMS reaffirm its intent to preserve and faithfully implement the HCBS Settings Rule, we are disappointed by the agency's decision to modify prior guidance regarding the heightened scrutiny process for 'settings that isolate.' The prior guidance used evidence-based guidelines..."
Visit the #Inclusion4AllPA campaign photo gallery
HCBS Overview - overview video about the Home and Community Based Settings Services rule and its various components
Council on Quality and Leadership's The Realities of House Rules
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.
