What Difference Will the HCBS Final Rule Make? [PDF]

John O’Brien

John O’Brien – 2020

Organizations funded by HCBS Waivers can’t ignore the Final Rule1 –states must assure CMS of compliance in order to use waiver funds. The difference the rule will make in the experience of people who rely on long-term support depends on how organizations choose to receive the provisions that define eligible settings and require person centered planning. The Rule will make a bigger difference to people assisted by organizations that actively pursue opportunities to develop capabilities that promote the Rule’s purpose than it will to organizations that see little distance between their current reality and theRule’s purpose and so have no reason to invest in deeper change.