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CMS Releases State Medicaid Director Letter on HCBS Programs

Tuesday, August 30, 2011

CMS recently released a State Medicaid Director letter that offers guidance to states on making changes to their home and community-based services (HCBS) programs while still complying with the "maintenance of effort" (MOE) provisions in the Affordable Care Act. Accompanying the letter is a Q&A that discusses in part, how changes to HCBS waiver eligibility intersects with a state's obligations under the ADA and Olmstead.