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HHS/CMS RIN: 0938-AO53 Publication ID: Spring 2013 
Title: Home and Community-Based State Plan Services Program and Provider Payment Reassignments (CMS-2249-F) 
Abstract: This final rule amends the Medicaid regulations to define and describe State plan home and community-based services (HCBS) under the Affordable Care Act. This rule offers States flexibilities in providing necessary and appropriate services to elderly and disabled populations. 
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), 2601, 2401    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  11/00/2013 
Additional Information: Includes Retrospective Review under E.O. 13563 with small business burden reduction.
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