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HHS/CMS RIN: 0938-AO81 Publication ID: Spring 2009 
Title: Rehabilitation Services: State Plan Option (CMS-2261-F) 
Abstract: This major rule amends the definition of Medicaid rehabilitative services in order to provide for important beneficiary protections such as a person-centered written rehabilitation plan and maintenance of case records. The rule also ensures the fiscal integrity of claimed Medicaid expenditures by clarifying the service definition and providing that Medicaid rehabilitative services must be coordinated with, but do not include services furnished by, other programs that are focused on social or educational development goals and are available as part of other services or programs. These services and programs include, but are not limited to, foster care, child welfare, education, child care, prevocational and vocational services, housing, parole and probation, juvenile justice, public guardianship, and any other non-Medicaid services from Federal, State, or local programs. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 440 to 441   
Legal Authority: sec 1905(a)(13) of the Social Security Act   
Legal Deadline:
Action Source Description Date
Final  Statutory    03/31/2009 

Overall Description of Deadline: Public Law 110-28 established a 1-year moratorium on rule until May 25, 2008. Public Law 110-252 extends the moratorium to March 31, 2009.

Timetable:
Action Date FR Cite
NPRM  08/13/2007  72 FR 45201   
NPRM Comment Period End  10/12/2007    
Final Action  To Be Determined    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: No  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Linda Peltz
Director, Division of Coverage and Integration
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Disabled and Elderly Health Programs Group, Center for Medicaid State Operations, Mailstop S2-14-26, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-3399
Fax:410 786-3262
Email: linda.peltz@cms.hhs.gov