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HHS/CMS RIN: 0938-AP61 Publication ID: Fall 2011 
Title: Home and Community Based Services Waivers (CMS-2296-F) 
Abstract: This rule revises the regulations implementing Medicaid home and community-based services (HCBS) waivers under section 1915(c) of the Social Security Act by providing States the option to combine the existing three waiver targeting groups. In addition, we are implementing other changes to the HCBS waiver provisions to convey expectations regarding person-centered plans of care, to provide characteristics of settings that are not home and community-based, to clarify the timing of amendments and public input requirements when States propose modifications to HCBS waiver programs and service rates, and to describe the additional strategies available to CMS to ensure State compliance with the statutory provisions of section 1915(c) of the Act. 
Agency: Department of Health and Human Services(HHS)  Priority: Other Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Long-Term Actions 
Major: No  Unfunded Mandates: No 
CFR Citation: 42 CFR 441   
Legal Authority: 42 USC 1302   
Legal Deadline:  None
Timetable:
Action Date FR Cite
ANPRM  06/22/2009  74 FR 29453   
ANPRM Comment Period End  08/21/2009    
NPRM  04/15/2011  76 FR 21311   
NPRM Comment Period End  06/14/2011    
Final Action  To Be Determined    
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Kathy Poisal
Health Insurance Specialist
Department of Health and Human Services
Centers for Medicare & Medicaid Services
Centers for Medicaid State Operations, Mail Stop S2-14-26, 7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-5940
Email: kathy.poisal@cms.hhs.gov