Home & Community Based Services 

SDRC's Resource for Home and Community Based Services Final Rule

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Cheat Sheet of Final Rule (2).pdf

HCBS Final Rule Informational Guide

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Home and Community-Based Services (HCBS) was developed to offer support to individuals in community settings as an alternative to institutional care. In 2014, new federal rules were released by the Centers for Medicare & Medicaid Services (CMS), requiring homes and programs where HCBS are delivered to meet new criteria. The Department and its partners are working to implement the requirements for home and community-based settings in accordance with the Final Rule (DDS, 2021). HCBS become effective March 17, 2023.

This page is a tool for anyone (IE clients, family members, service providers (and their staff), Regional Center Staff, etc.) to learn, explore, and have access to as much information regarding Home and Community Based Services Final Rule. This site it to be used as a location of electronic items, links to important pages and training information / events. This page is to be a collaboration of several websites - CMS, DDS, SDRC and SCDD along with helpful documents. For complete information go to our Resource Page.


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HCBS Applies to the following program types: 

(including service codes) 

Day Programs

 Socialization Training (028)Community Integration Training (055)Community Activities Support (063)Participant-Directed Community Based Training Services for Adults (475)Activity Center (505)Adult Developmental Center (510)Behavioral Management (515)Adult Day Care / Facility (855)

Employment Programs

Supported Employment - Group Services (950)Work Activity (954)

Residential Programs

Residential Care for the Elderly (096)Licensed Specialized Residential Facility (113)EBSH & CCH (900) Family Home Agency (904) Adult Residential Facility (905 & 915)Children's Residential Facility (910 & 920)