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The Centers for Medicare & Medicaid Services (CMS) will delay enforcement of a key provision in its 2024 Medicaid “Ensuring Access to Medicaid Services” rule (Access Rule) governing home- and community-based services (HCBS), giving states additional time to implement fee-for-service (FFS) grievance system requirements.

Enforcement of the requirement, originally scheduled to begin July 9, 2026, has been postponed until December 31, 2027.

CMS announced the delay in a February 26, 2026 informational bulletin from the Center for Medicaid and CHIP Services (CMCS), citing the operational and administrative burden on states. The agency indicated that the extension will . . .

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