This final rule has moved the definition of community based away from the deeply gamed versions that allowed Medicaid funding to places that are clearly segregated. We will see how well it works.....
The final Home and Community-Based Services regulations set forth new requirements for several Medicaid authorities under which states may provide home and community-based long-term services and supports. The regulations enhance the quality of HCBS and provide additional protections to individuals that receive services under these Medicaid authorities.