Home and Community-Based Programs Rule Change Overview

​​​​​​​​​​​​​​​​The Centers for Medicare and Medicaid Services (CMS) issued a Home and Community-Based Services (HCBS) final rule on January 16, 2014, which came into effect on March 17, 2014. The new rule applies to both residential and non-residential settings and changes the standards by which states are allowed to pay for HCBS. Highlights of the new rule include the following:
  1. Ensuring that individuals have been given choices regarding their setting options.
  2. Guaranteeing individuals’ rights of privacy, dignity, respect, and freedom from coercion and restraint.
  3. Optimizing autonomy and independence in making life choices
  4. Facilitating choice in services and those who provide it.
The following links describe HCBS programs in more detail:
Links to informational webinars are below:
Content Type
Folder: A - Transition Advisory Team Meetings
6/11/2015 1:41 PMFolder
Folder: B - HCBS Final Rule Transition Plan Comments
9/6/2016 10:21 AMFolder
Folder: C - Draft Transition Plan
6/24/2015 1:25 PMFolder
Folder: D - Introductory Final Rule Discussion
6/11/2015 2:05 PMFolder
DDA BI Res NonRes Survey Questions 11.4.16.pdf
11/4/2016 3:56 PMDocument
DDA Non Res Data 7.28.16 with PassFail Analysis.xls
1/27/2017 9:41 AMDocument
DDA Res HCBS Final Results_9Dec16_Final Updated.xls
1/27/2017 9:41 AMDocument
Folder: E - Preliminary Survey Information
6/11/2015 2:08 PMFolder
FULL Transition Plan Update 9.2.16.pdf
9/7/2016 2:51 PMDocument
Medicaid HCBS Codebook and Analysis Scheme.xls
1/27/2017 9:41 AMDocument
Folder: Stakeholder Notes
9/20/2016 11:16 AMFolder
Rebecca Oliver, MPA, JD
Health Policy Analyst Advanced
Office of Health Services
Maryland Department of Health and Mental Hygiene