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Home & Community Based Services Guidance

The Centers for Medicaid and CHIP Services (CMCS) Division of Long Term Services and Supports (DLTSS) issues technical assistance as part of the state-federal partnership in administering the Medicaid programs. We use this guidance, in the form of letters to State Medicaid Directors, Informational Bulletins, Issue Briefs, and Frequently Asked Questions, to communicate with states and other stakeholders regarding operational issues related to home and community based services (HCBS).

Technical assistance is available from CMS to assist state Medicaid agencies in developing, enhancing, implementing, and evaluating HCBS.

HCBS Training Series

The HCBS Training Page provides webinar trainings which were presented during State Operations and Technical Assistance (SOTA) calls. These webinars focused on a variety of topics such as Home and Community Based settings requirements, the Heightened Scrutiny Process, Fiscal Integrity with a focus on Personal Care Services, and Conflict of Interest.