The Centers for Medicare & Medicaid Services (CMS) addressed the topic of  "Implementing the HCBS Rules in Settings Serving Individuals with Dementia & Other Cognitive Disabilities" in its monthly State Operations and Technical Assistance (SOTA) webinars for State Medicaid Agency personnel and the public. 

LeadingAge staff, along with staff from LeadingAge Minnesota, New York and Nebraska and the Adult Day Health Care (ADHC) Council had a conference call meeting with the Directors of the Disabled and Elderly Health Programs Group at CMS  to discuss the HCBS Settings Rule FAQ for new construction, and specifically  CMS encouraging states to limit the growth of  Adult Day and Assisted Living co-located in or on the grounds of a nursing home.

On Sept. 7, 2015, President Obama issued Executive Order 13706 (EO 13706), which requires that all government contractors and their subcontractors provide their employees working on the contract paid sick leave. While Medicare and Medicaid-certified providers do not constitute government contractors, providers with VA contracts are covered by EO 13706 through the Contract Services Act of 1965. 

The HCBS Setting Requirements final rule was released January 10, 2014 by the Centers for Medicare & Medicaid Services. This rule will gave states more flexibility on how they are able to use federal Medicaid funds to pay for home- and community-based services (HCBS) to meet the needs of Medicaid enrollees, particularly the elderly and disabled.

The Center for Medicare and Medicaid Services (CMS) has issued its long awaited final rule on the use of Medicaid waivers in home and community-based services (HCBS) settings. The final rule moves away from earlier definitions based on setting, location, or geography, and takes a more "outcome oriented" approach focused on the nature and quality of the individual's experience. As we review the provisions of the rule, we will provide more details and analysis.


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