Home and Community-Based Services (HCBS) Waivers

Home and Community-Based Services Waivers programs are the federally approved Medicaid programs authorized by Title XIX of the Social Security Act, Section 1915(c) that provide services in the home for persons who would otherwise require institutional care in a hospital, nursing facility, or intermediate care facility.

Current Waivers

Adult Cystic Fibrosis

Familial Dysautonomia


Long-term Care


Project AIDS Care (PAC)

Traumatic Brain Injury and Spinal Cord Injury

HCBS Settings Rule

In March 2014 the Centers for Medicare and Medicaid Services (CMS) issued a final rule for home and community based programs. The rule requires the Agency to provide an opportunity for the public to comment on substantive changes to home and community based service waiver programs and to ensure persons who receive Medicaid home and community based services do so in and environment, and from providers who:

We have developed a preliminary transition plan detailing the steps to be taken to implement the new rule.  The preliminary transition plan contains the following information:

The final comprehensive transition plan will be available for public comment in the fall of 2014.

Reference Documents

HCBS Preliminary Transition Plan Final Rule CMS 2249-F [116KB]

HCBS Settings Rule Quick Reference [276KB PDF]

HCBS Rule Overview and Transition Planning 2014 [738KB PDF]