Specialized Information for:

Nursing HomesAssisted Living/Board & Care Home and Community Based Services

HCBS Federal Resources


Updated Guidance on Home and Community-Based Services Regulation (March 2019)
The Centers for Medicare & Medicaid Services (CMS) has issued updated guidance to State Medicaid Directors on implementing activities associated with the home and community-based services (HCBS) regulation. This guidance, issued as a set of frequently asked questions (FAQs), provides clarification on the “heightened scrutiny” process, which allows states to provide evidence to CMS demonstrating that a setting does not have the qualities of an institution, but does have the qualities of a home and community-based setting. See more information on the Medicaid.gov HCBS Guidance Page.


Webinar: What is ACL’s Interest in HCBS Quality
ACL launched a webinar series reflecting the agency's commitment to and development of measures for home and community-based services (HCBS) quality. The series provides a platform for internal and external stakeholders to share developments and collaborate on HCBS quality efforts. A transcript (PDF)recording, and slides (PDF) from the first webinar in this series are available. The webinar included and overview of ACL's work on HCBS quality measures, why this work is important, and an update on HCBS quality measures progress, including findings and impact. For more information visit the ACL website.

The Who, What, When, Where and How of Ombudsman Services for Home Care Consumers (November 2013)
This session from the 37th annual Consumer Voice conference talks about an increasing number of states are looking at options for advocacy for home care consumers. The Older Americans Act Reauthorization Act of 2013 would give ombudsman programs the authority to continue to serve residents transitioning from a long-term care facility to a home care setting, and there are opportunities to provide ombudsman services to clients of Money Follows the Person (MFP), managed care and dual integration programs. What does it take to develop a home care ombudsman program? During this session, participants will look at different options for creating a home care ombudsman program and hear about issues such as funding, scope of services, authority and oversight, staffing and more from states that have already made these decisions.

Session Materials:

Transitions and Long-Term Care: A Look at MDS 3.0 Section Q and Money Follows the Person (January 30, 2012)
The Administration on Aging hosted a webinar giving an overview of MDS 3.0 Section Q and Money Follows the Person and detailing how these programs affect the aging network. View the slides and recording.