On January 16, 2014 the Centers for Medicare and Medicaid Services (CMS) in the U.S. Department of Health and Human Services issued final rules in the Federal Register that implemented section 1915(i) State Plan home and community-based services; defined and described home and community-based setting across all Medicaid home and community-based services authorities; defined person-centered planning requirements for sections 1915(c) and 1915(i) home and community-based services; and allowed states to combine target populations in one section 1915(c) waiver.
In order to receive Medicaid reimbursement from the federal government for providing home and community-based services, states must ensure that the services are delivered in settings that meet the new definition of home and community-based (HCB) setting. The primary focus of this National Policy Matters is the new definition of HCB setting.