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HHS/CMS RIN: 0938-AO53 Publication ID: Fall 2013 
Title: Home and Community-Based State Plan Services Program, Waivers, and Provider Payment Reassignments (CMS-2249-F) 
Abstract: This final rule defines and describes state plan home and community-based services (HCBS) under the Affordable Care Act. It describes Medicaid coverage of an optional state plan benefit to furnish HCBS and draw federal matching funds. Also, this rule makes several changes to the regulations implementing Medicaid HCBS waivers. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Final Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 430    42 CFR 431    42 CFR 435    42 CFR 436    42 CFR 440    42 CFR 441    42 CFR 447   
Legal Authority: Deficit Reduction Act of 2005    PL 109-171, sec 6086    PL 111-148, secs 2402(b)-(g) and 2601    Social Security Act, sec 1902(a)(32)   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2007 
Action Date FR Cite
NPRM  04/04/2008  73 FR 18676   
NPRM Comment Period End  06/03/2008    
Second NPRM  05/03/2012  77 FR 26362   
Second NPRM Comment Period End  06/14/2012 
Final Action  12/00/2013 
Additional Information: Includes Retrospective Review under E.O. 13563.
Regulatory Flexibility Analysis Required: No  Government Levels Affected: State 
Small Entities Affected: Businesses  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: No 
Agency Contact:
Suzanne Bosstick
Director, Division of Integrated Health Systems
Department of Health and Human Services
Centers for Medicare & Medicaid Services
7500 Security Boulevard,
Baltimore, MD 21244
Phone:410 786-1301

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