Home and Community-Based Settings Regulation – Implementation Timeline Extension and Revised Frequently Asked Questions State Medicaid Director Letter

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Today, the Centers for Medicare & Medicaid Services (CMS) issued guidance to state Medicaid agencies informing them that the agency will be extending the deadline for ensuring compliance with the Home and Community-Based Settings Regulation, in response to the COVID-19 pandemic. CMS recognizes that states have faced significant challenges and delays in their implementation activities, and that service provision and community integration approaches have been disrupted.  

Due to these unprecedented challenges, CMS has extended the compliance deadline for this regulation to March 17, 2023. CMS is committed to continuing its work with states, advocates, and other stakeholders to continue to improve HCBS options. Technical assistance and support for states remains available during the extension period to ensure meaningful progress with ongoing implementation efforts.