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CMS To Review Presumptively Institutional HCBS Settings With Greater Scrutiny

News | May 20, 2019

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On March 22, 2019, the Centers for Medicare & Medicaid Services (CMS) clarified that Medicaid home- and community-based services (HCBS) settings assumed to be “presumptively institutional” will be subject to heightened scrutiny. Presumptively institutional settings are those that have the qualities of an institution and/or isolate beneficiaries receiving HCBS. Medicaid will not cover HCBS provided…

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