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HHS/CMS RIN: 0938-AO53 Publication ID: Fall 2009 
Title: Home and Community-Based Services (HCBS) State Plan Option (CMS-2249-F)(Section 610 Review) 
Abstract: This rule amends the Medicaid regulations to define and describe the home- and community-based State plan services implementing the new section 1915(i) of the Social Security Act as added by section 6086 of the Deficit Reduction Act of 2005. 
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 
RFA Section 610 Review: Section 610 Review 
CFR Citation: 42 CFR 431    42 CFR 440 and 441   
Legal Authority: Deficit Reduction Act of 2005    PL 109-171, sec 6086   
Legal Deadline:
Action Source Description Date
Final  Statutory    01/01/2007 
Timetable:
Action Date FR Cite
NPRM  04/04/2008  73 FR 18676   
NPRM Comment Period End  06/03/2008    
Final Action  To Be Determined    
Regulatory Flexibility Analysis Required: Yes  Government Levels Affected: State 
Small Entities Affected: Governmental Jurisdictions  Federalism: No 
Included in the Regulatory Plan: No 
RIN Data Printed in the FR: Yes 
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
Email: suzanne.bosstick@cms.hhs.gov