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On March 18, 2023, the Centers for Medicare & Medicaid Services (CMS) fully implemented its rules on the types of long-term care living arrangements that qualify as an appropriate setting for Medicaid-funded home- and community-based services (HCBS). The rules, originally issued in January 2014, is intended to ensure that Medicaid beneficiaries receiving HCBS are living in community-based settings, not institutional settings, such as skilled nursing facilities or segregated group homes. All states have submitted HCBS transition plans.

The HCBS regulation was created to ensure that all people receiving Medicaid-funded HCBS have access to quality, person . . .

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