CMS Issues Additional Guidance on Home and Community Based Service Setting Requirements

As you are aware CMS issued a new regulation more than a year ago that will change the landscape of home and community based services funded through Medicaid.  IHCA has reported on this in the past (click here).  Part of these changes include ensuring that recipients of home and community based services are in settings that are not “institutions” or have qualities of institutionalization.  Certain settings are presumed to have qualities of institutions, and while those settings are not permanently excluded from participating in HCBS Medicaid programs, they will have to meet a “heightened scrutiny” process.  CMS’s new guidance speaks directly to that heightened scrutiny process (click here to review).

IHCA is continually engaging the Indiana Medicaid program and Division of Aging on how it will change Indiana’s HCBS waivers to comply, and how those changes will impact Indiana providers.