The Home and Community Based Services (HCBS) Settings Final Rule is a federal policy change announced by the Centers for Medicare and Medicaid Services (CMS) to make sure that people with disabilities have the kinds of services they need in their communities. The Rule requires that the places where people receive HCBS waiver services offer full access to the benefits of community life. This guide prepares you for HCBS advocacy with information about the Rule and tools to share about your experience receiving services.

Download guide - English (PDF)
Download guide - Spanish (PDF)

Limited quantities are available in hard copy format through the Publications Order Form

The Home and Community Based Services (HCBS) Settings Final Rule sets requirements for where and how Medicaid HCBS are provided to ensure that people receiving services have full access to community life. This guide was developed to prepare supporters to assist people with developmental disabilities to advocate for the community lives they want and share their experiences receiving Home and Community Based Services. It contains information about the Rule, guidance on having conversations with those you support about their lives and services, and a list of organizations that can help with advocacy.

Download guide - English (PDF)
Download guide - Spanish (PDF)

Limited quantities are available in hard copy format through the Publications Order Form