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: 2017 Community Settings Meeting Minutes
4/18/2017 3:22 PMFolder
Folder: A - Transition Advisory Team Meetings
6/11/2015 1:41 PMFolder
Folder: Appendices 1-14
5/10/2017 9:07 AMFolder
Folder: Appendices A-M
5/10/2017 9:08 AMFolder
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
Folder: DDA
4/18/2017 3:20 PMFolder
Folder: E - Preliminary Survey Information
6/11/2015 2:08 PMFolder
Freedom of Choice Form 11.15.pdf
7/14/2017 3:13 PMDocument
Folder: May 19, 2017 Webinar Follow-Up
5/25/2017 8:46 AMFolder
MD Initial Approval Letter.pdf
8/2/2017 3:00 PMDocument
MD State Transition Plan 7.26.17.pdf
7/26/2017 2:17 PMDocument
MDCTransmittalNo.86_Freedom of Choice.pdf
7/14/2017 3:13 PMDocument
Medicaid HCBS Codebook and Analysis Scheme.xls
1/27/2017 9:41 AMDocument
Memo Brain Injury Providers Community Settings 0417.pdf
4/24/2017 4:07 PMDocument
Folder: Provider Transformation
4/27/2017 8:37 AMFolder
Sample CSQ Current.pdf
7/5/2017 1:32 PMDocument
Folder: Stakeholder Notes
9/20/2016 11:16 AMFolder
State Transition Plan August 2016.pdf
7/21/2017 1:13 PMDocument
Folder: Workgroups
4/25/2017 4:36 PMFolder
Rebecca Oliver, MPA, JD
Health Policy Analyst Advanced
Office of Health Services
Maryland Department of Health and Mental Hygiene