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HHS/CMS RIN: 0938-AO53 Publication ID: Fall 2010 
Title: Home and Community-Based Services (HCBS) State Plan Services Program (CMS-2249-P2) 
Abstract: In 2008, CMS issued a proposed rule that would define and describe State plan home and community-based services (HCBS) plan services implementing new section 1915(i) of the Social Security Act as added by section 6086 of the Deficit Reduction Act of 2005. This section allows States, at their option, to provide home and community-based services (HCBS) under their regular State Medicaid plans. This rule revises that proposed rule to implement provisions of the Affordable Care Act of 2010 that require oversight and assessment of the administration of home and community based services. In addition, this rule would respond to public comments received on the pervious proposed rule pertaining to the HCBS benefit under the Medicaid State plan. 
Agency: Department of Health and Human Services(HHS)  Priority: Economically Significant 
RIN Status: Previously published in the Unified Agenda Agenda Stage of Rulemaking: Proposed Rule Stage 
Major: Yes  Unfunded Mandates: No 
CFR Citation: 42 CFR 431    42 CFR 440 and 441   
Legal Authority: Deficit Reduction Act of 2005    PL 109-171, sec 6086    PL 111-148, sec 2402   
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    
Second NPRM  07/00/2011    
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:
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