{
  "id": "R43804",
  "type": "CRS Report",
  "typeId": "REPORTS",
  "number": "R43804",
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  "source": "EveryCRSReport.com",
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    {
      "source": "EveryCRSReport.com",
      "id": 436038,
      "date": "2014-12-02",
      "retrieved": "2016-04-06T22:51:41.890839",
      "title": "Medicaid Home and Community-Based Settings Final Rule: In Brief",
      "summary": "On January 16, 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for Medicaid participants receiving home and community-based services (HCBS). Effective March 17, 2014, the rule establishes certain requirements for home and community-based settings. To receive federal reimbursement, states must ensure that Medicaid HCBS are delivered in such settings. CMS states that the purpose of the rule is to ensure that Medicaid participants have full access to community living and opportunities to receive Medicaid services in the most integrated setting appropriate. According to CMS, the rule also provides additional protections to Medicaid HCBS program participants, and it is intended to enhance the quality of such services. The rule supports various administrative activities over the past decade to expand Medicaid HCBS, in part, prompted by the U.S. Supreme Court decision in Olmstead v. L.C., which held that the institutionalization of people who could be cared for in community settings was a violation of Title II of the Americans with Disabilities Act (ADA). The Olmstead decision, also known as the \u201cintegration mandate,\u201d affirmed the rights of individuals with disabilities to receive services in the most integrated and least restrictive setting appropriate. This report describes key provisions of the final rule as outlined.",
      "type": "CRS Report",
      "typeId": "REPORTS",
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}