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Federal Regulations

HCBS Rule: List of STPs Approved to Date

The CMS Home and Community Based Services (HCBS) rule that was finalized in January 2014 continues to be implemented, including through the approval of Statewide Transition Plans (STPs). Initially, it was expected that approvals would come promptly after a state submitted its plan to CMS, and that necessary transition activities would be completed by March 2019. However, the approval process has not worked as quickly as originally planned for, and CMS has extended the transition deadline to March 2022 (though plan approvals are still expected prior to March 2019).

Regional Stakeholder Meetings Scheduled on WIOA Regs

The U.S. Departments of Education (ED) and Labor (DOL) will publish final regulations to implement changes made by the Workforce Innovation and Opportunity Act (WIOA). ED will publish two sets of final regulations implementing changes to programs authorized under the Rehabilitation Act of 1973 (Act), as amended by title IV of WIOA, as well as implementing new provisions added to the Act by WIOA.

NCD Releases Report on State of Federal Disability Policy

On September 18, the National Council on Disability (NCD) released its annual report on national disability policy. The report makes numerous specific recommendations pertaining to a number of areas of interest to ANCOR membership, including the proposed Centers for Medicare & Medicaid Services’ definition of community, federal oversight of state managed care programs, and FMAP incentives for home and community-based services.

Comments Regarding Proposed Rulemaking Amending Medicaid Regulations to Provide Home and Community-Based Setting Requirements

Eligibility

The proposed rule would revise Medicaid regulations to define and describe State plan home and community-based services (HCBS) under the Social Security Act (the Act) as added by the Deficit Reduction Act of 2005 and amended by the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act 1). This proposed rule offers States new flexibility in providing necessary and appropriate services to elderly and disabled populations.

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