Home and Community Based Services Final Rule and Waiver Review

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What are Home and Community Based Services (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.

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

Questions? Contact Aliesia Gautschi, HCBS Specialist, at agautschi@altaregional.org.

HCBS Waiver Review

2023 1915i Response Acceptance Letter
2023 1915i Final Report Letter
2023 1915c Final Report
2023 1915i Final Report
2023 NHR Final Report
2019 Home & Community Based Waiver Review
2017 Home & Community Based Waiver Review
2015 Home & Community Based Waiver Review