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Disability Advocates Create Comprehensive Toolkit Calling for Strong Implementation of the Home and Community-Based Settings Rule

February 29, 2016

The HCBS Advocacy Coalition has released a three-part toolkit that explains the Center for Medicare and Medicaid Services’ (CMS) Home and Community-Based Services (HCBS) Settings rule and its potential to promote the full integration of people with disabilities. The HCBS Advocacy Coalition is a group of prominent disability rights organizations working together to advance state compliance with the HCBS rule and promote the full integration of people with disabilities in our society. was created by the Association of University Centers on Disability (AUCD), the National Association of Councils on Developmental Disability (NACDD), and the National Disability Rights Network (NDRN) in collaboration with the DD (Developmental Disability) Network. 

The three-part toolkit includes: (1) The Medicaid Home and Community-Based Settings Rules: What You Should Know!, which provides a broad overview of the various HCBS regulations and why HCBS is important; (2) Home and Community-Based Services Rules Q&A: Settings Presumed to Be Institutional and the Heightened Scrutiny Process, which explains special processes for reviewing settings that are likely to isolate individuals from the community; and (3) HCBS Setting Rules: How to Advocate for Truly Integrated Community Settings, which discusses ways in which advocates can help states implement the HCBS rules effectively so that they truly promote community integration. 

The toolkit explains how to ensure that Medicaid-funded HCBS promotes competitive integrated employment for people with disabilities. For example, many State Transition Plans contain very little information on how the HCBS rules apply to non-residential settings, such as employment and pre-vocational services.

View the toolkit: