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Frequently asked questions about maintaining HCBS eligibility under COVID-19 requirements

DHS greatly appreciates the assistance from lead agencies to meet our obligation to maintain eligibility for people who use home and community-based services (HCBS) programs throughout the COVID-19 national public health emergency period.

Maintaining HCBS eligibility is one of the many requirements under the maintenance-of-effort agreement required for states that receive an enhanced federal match for the cost of Medicaid (MA) and Alternative Care (AC) services. States must protect vulnerable people from losing needed supports and services during the public health crisis and be able to document compliance with maintenance-of-effort requirements, which includes documenting HCBS eligibility.

During the COVID-19 national public health emergency period, a person’s HCBS eligibility may end only if they move out of state, die or leave the program by choice. See DHS Bulletin #20-56-06 (PDF) for additional information.

This page includes information for lead agencies about rates and scenarios about how to maintain a person’s HCBS eligibility.

Rate calculations

Scenario one: Person cannot be located

Scenario two: Late reassessment

Scenario three: Changes to level of care

Scenario four: Out of state

Scenario five: Refusal of reassessment

Scenario six: Incarceration

Scenario seven: Institutional settings

Scenario eight: Personal care assistance (PCA) services


Contact with questions.

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