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Policy Statement on the Home- and Community-Based Services Settings Rule

mltss-assn-hcbs-settings-rule-policy-statement Background Home- and Community-Based Services (HCBS) State Medicaid programs were originally only required to cover long-term care provided in nursing homes and other institutional settings. A 1999 Supreme Court decision in Olmstead v. L.C. ruled that individuals with disabilities have the right to live in the most integrated setting in the community rather than in institutions, and required states …