Home and Community Based Services Settings Final Rule

In 2014, the federal Centers for Medicare & Medicaid Services (CMS) published a rule requiring Home- and Community-Based Services (HCBS) to be provided in settings that meet certain criteria. The criteria ensure that HCBS participants have access to the benefits of community living and live and receive services in integrated, noninstitutional settings.

The rule went into effect in March 2014, and states originally had five years - until March 2019 - to ensure that their HCBS settings were 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 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 by two years, from March 2019 to March 2021.

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