Guidance On Settings That Have The Effect Of Isolating Individuals Receiving HCBS From The Broader Community

The final rule identifies settings that are presumed to have institutional qualities and do not meet the rule’s requirements for home and community-based settings.  These settings include those in a publicly or privately-owned facility that provide inpatient treatment; on the grounds of, or immediately adjacent to, a public institution; or that have the effect of isolating individuals receiving Medicaid-funded HCBS from the broader community of individuals not receiving Medicaid-funded HCBS . . .