The Centers for Medicare & Medicaid Services (CMS) issued two new documents today related to the Medicaid HCBS rule implementation. The first document is an optional tool that states can use to assess whether “the characteristics of Medicaid Home and Community-based Services, as required by regulation” are present. The questions in the document are “suggested,” but not required to be used by states according to CMS. The questions may be found here.
The second document is the long-awaited Q&A document from CMS about the final rule and includes common questions and answers about the following topics:
Public Notice and Comments
HCB Settings – General
HCB Settings – Residential
HCB Setting – Non-Residential
HCB Settings – Restrictions
The Q&A document provides additional guidance on key provisions such roommate choice, the provision of keys to residents and staff, “locked doors or doors with alarms for individuals who are incapable of protecting themselves unsupervised in the community and/or who have documented histories of wandering,” co-located buildings, and resident leases.
While the guidance answers many questions, it may raise additional questions. Overall, it appears that CMS is allowing some flexibility in implementation, but CMS also […]