Having trouble viewing this email? View it as a Web page<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&100&&&https://content.govdelivery.com/accounts/USACL/bulletins/238ad29>.

[News & Events]

March 25, 2019

News from CMS: Updated Guidance on Home and Community-Based Services Regulation<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&101&&&https://acl.gov/node/2697>

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.

View the guidance and see more information:

  *   HCBS "Heightened Scrutiny" FAQs<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&102&&&https://www.medicaid.gov/federal-policy-guidance/downloads/smd19001.pdf>
  *   Medicaid.gov HCBS Guidance Page<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&103&&&https://www.medicaid.gov/medicaid/hcbs/guidance/index.html>

________________________________
Register for HCBS Heightened Scrutiny Training Session<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&104&&&https://neweditions.adobeconnect.com/hcbs_heightened_scrutiny_training_session/event/registration.html>

Thursday, March 28 at 1:30 pm - 3:30 pm ET

CMS will conduct an HCBS Settings Heightened Scrutiny FAQ training session on Thursday, March 28th at 1:30 PM Eastern Time. The training will provide participants with an overview of CMS's approach to conducting heightened scrutiny reviews of presumptively institutional settings, as described in our the released guidance. Topics will include:

  *   Identification of settings that isolate beneficiaries receiving HCBS;
  *   Information on presumptively institutional settings to release for stakeholder input and to submit to CMS; and
  *   How CMS will review information on specific settings.

Individuals from the CMS Disabled and Elderly Health Programs Group, including the Division of Long Term Services & Supports, will present the training.

Register to attend this training<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&105&&&https://events-na8.adobeconnect.com/content/connect/c1/1108472965/en/events/event/shared/default_template/event_registration.html?connect-session=na8breezqd2uywarqn5duv58&sco-id=2493913606&_charset_=utf-8>.

________________________________

Back to top

[Facebook]<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&106&&&https://www.facebook.com/aclgov>[Twitter]<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&107&&&https://twitter.com/aclgov>[Youtube]<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&108&&&http://www.youtube.com/user/AoA25>

Please do not respond to this e-mail. Contact the Administration for Community Living<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&109&&&https://acl.gov/contact>

  SUBSCRIBER SERVICES

Manage Preferences<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&110&&&https://public.govdelivery.com/accounts/USACL/subscriber/edit?preferences=true#tab1> |  Unsubscribe<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&111&&&https://public.govdelivery.com/accounts/USACL/subscriber/one_click_unsubscribe?verification=5.475db6a3e05b5ac1db36d740fb968211&destination=rtroutman%40nacdd.org>  |  Help<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&112&&&https://subscriberhelp.govdelivery.com/>

________________________________
This email was sent to xxxxxx@nacdd.org<mailto:xxxxxx@nacdd.org> using GovDelivery Communications Cloud on behalf of: Administration for Community Living
*330 C Street SW  * Washington, D.C. 20001

[GovDelivery logo]<http://links.govdelivery.com:80/track?type=click&enid=ZWFzPTEmbXNpZD0mYXVpZD0mbWFpbGluZ2lkPTIwMTkwMzI1LjM2NDc3MjEmbWVzc2FnZWlkPU1EQi1QUkQtQlVMLTIwMTkwMzI1LjM2NDc3MjEmZGF0YWJhc2VpZD0xMDAxJnNlcmlhbD0xNzA5NTU0NSZlbWFpbGlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdXNlcmlkPXJ0cm91dG1hbkBuYWNkZC5vcmcmdGFyZ2V0aWQ9JmZsPSZleHRyYT1NdWx0aXZhcmlhdGVJZD0mJiY=&&&113&&&https://subscriberhelp.granicus.com/>