Home and Community Based Services Settings Final Rule

The federal Centers for Medicare & Medicaid Services (CMS) issued a final rule effective March 2014 to ensure that the provision of Home and Community Based Services (HCBS) occurs in settings that meet certain criteria. The rule ensures that HCBS participants have access to the benefits of community living and that services are true alternatives to those provided in an institutional setting and are delivered in the most integrated setting possible.

The rule went into effect in March 2014, and states originally had five years - until March 2019 - to ensure that their HCBS settings are compliant with the rule.  In May 2017, CMS issued an Informational Bulletin extending the transition period for compliance with the Settings Final Rule by three years, to March 17, 2022.  In light of this bulletin, the Colorado Department of Health Care Policy and Financing (HCPF or 'the Department') has adjusted the statewide compliance deadline below by one year, from March 2019 to March 2020.

The following documents and information relate to Colorado's implementation of the Final Settings Rule.