skip to content
Primary navigation

Transition plan for home and community-based settings

The Department of Health and Human Services' Centers for Medicare and Medicaid Services (CMS) published regulations in the Federal Register, effective March 17, 2014, which, among other things, changed the definition of HCBS settings for the 1915(c) and 1915(i) Medicaid HCBS waivers. The new definition considers a person’s experience and outcomes in addition to a setting’s location, geography or physical characteristics. 

Watch the DHS Home and Community-Based Services Rule Overview video to find out more.

CMS has issued guidelines that provide questions for states to consider when deciding whether settings are home and community-based. CMS has determined certain settings are “presumed not to be home and community-based.” CMS has issued specific guidelines for residential settings and non-residential settings. 

You can find more information about the CMS rule and requirements on the CMS website. After clicking on the link, you will find the guidelines in the “Settings Requirements Compliance Toolkit” tab of the webpage.

back to top