CMS Final Rule and HCBS


In March 2014, the Centers for Medicare and Medicaid Services (CMS) adopted updates to federal regulation regarding Home and Community Based Services (HCBS) to promote:

  • Person Centered Planning
  • Individualized Services
  • Access to the Full Benefit of Community Life

What is HCBS?

Home and Community Based Services (HCBS) are services and supports provided in home and community based settings, with the intent of diverting or transitioning individuals from institutional settings into their homes and community. ACRC-vendored providers of Home and Community Based Services (HCBS) are subject to these changes in regulation. New ACRC vendorizations and service providers contracted through the Self Determination Program (SDP) are expected to be in compliance upon initiation of services. Existing providers should work with ACRC’s Community Service Department to update their vendorizations as needed. ACRC wants to support all providers in achieving compliance with regulation, so that providers may continue to qualify for Regional Center funding.

Update: The timeframe for providers to complete necessary changes has been extended by CMS through March 17, 2023.

Questions? Contact Aliesia Gautschi, HCBS Specialist, at If you need support with HCBS compliance, we are offering vendor forums, workshops, and office hours. You can schedule a time to receive support or if you have questions about your compliance status, email


HCBS Provider Assessments

Providers of some regional center HCBS services (Service Code List) are required to be assessed for their current level of compliance with the CMS Final Rule.

The first phase consisted of HCBS Self-Assessments, filled out by providers in regards to their own services. This phase was completed on 8/31/2020.

The next phase will be on-site assessments. DDS, in partnership with Public Consulting Group (PCG), will be performing individual site assessments with a representative sample of service providers. Due to COVID considerations, these may be conducted online.