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Federal HCBS Regulations Assessment and Implementation Project

On January 10, 2014, the Centers for Medicare and Medicaid Services (CMS) issued final regulations regarding home- and community-based settings (HCBS). The rule supports enhanced quality in HCBS programs, outlines person-centered planning practices, and reflects CMS' intent to ensure that individuals receiving Medicaid funded services have full access to the benefits of community living and are able to receive services in the most integrated setting. As part of Vermont’s Global Commitment to Health (GC) waiver, effective January 30, 2015, CMS has asked Vermont to provide assurances in its Comprehensive Quality Strategy that the State’s Managed Long-Term Services and Supports (MLTSS) are in compliance with certain aspects of the HCBS rule, specifically those related to the setting requirement, person- centered approaches for service planning and conflict-free case management.

Program Documents & Tools