The rule supports the HHS Community Living Initiative, which was launched in 2009 to expand access to meaningful community living for older adults and people with disabilities. The final rule defines home and community-based settings and implements the PPACA home and community-based services state plan option, which gives states more flexibility for expanding those services and targeting specific populations.
The rule also amends regulations for the Medicaid HCBS waiver program to promote quality improvement and creates a more outcome-oriented definition of home and community-based settings, rather than one based solely on location, geography or physical characteristics.
For more information on the final rule, view the full text here.
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