0938-AO53 201310 The Regulatory Plan and the Unified Agenda of Federal Regulatory and Deregulatory Actions 0938 Centers for Medicare & Medicaid Services CMS 0900 Department of Health and Human Services HHS Home and Community-Based State Plan Services Program, Waivers, and Provider Payment Reassignments (CMS-2249-F) Economically Significant Previously Published in The Unified Agenda Final Rule Stage Yes No 42 CFR 430 42 CFR 431 42 CFR 435 42 CFR 436 42 CFR 440 42 CFR 441 42 CFR 447 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) Statutory Final 01/01/2007 No 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 Includes Retrospective Review under E.O. 13563. No Businesses State No No No No Suzanne Bosstick 0938 Centers for Medicare & Medicaid Services CMS 410 786-1301 suzanne.bosstick@cms.hhs.gov 7500 Security Boulevard, Baltimore MD 21244