In 2014, regulation was issued by Centers for Medicare & Medicaid Services which finalized the criteria for home and community-based services (HCBS) for the purposes of Medicaid funding.
The criteria require settings receiving HCBS funding to facilitate beneficiary independence and decision-making in defining desired community-based living.
states, providers, beneficiaries and other stakeholders determine a strategy for complying with the setting requirements during a transition period that ends March 17, 2019, questions have arisen on how to adhere to the individualized nature of service provision for individuals with dementia or other conditions in which unsafe wandering or exit-seeking behavior is exhibited.
Read the guidance issued this week, which explains how these regulatory requirements can be met and describes some options for HCBS stakeholder education and consideration.