title: Medicaid program; home and community-based services. Health Care Financing Administration (HCFA), HHS. Final rule with comment period.
abstract: This final rule with comment period expands State flexibility in providing prevocational, educational, and supported employment services under the Medicaid home and community-based services waiver provisions currently found in section 1915(c) of the Social Security Act (the Act); and incorporates the self-implementing provisions of section 4743 of the Balanced Budget Act of 1997 that amends section 1915(c)(5) of the Act to delete the requirements that an individual have prior institutionalization in a nursing facility or intermediate care facility for the mentally retarded before becoming eligible for the expanded habilitation services.  In addition, we are making a number of technical changes to update or correct the regulations.
mesh_terms: D014487:Centers for Medicare and Medicaid Services, U.S.; D003153:Community Health Services / Q000191:economics*; D003688:Deinstitutionalization / Q000331:legislation & jurisprudence*; D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D006699:Home Care Services / Q000191:economics*; D006801:Humans; D008484:Medicaid / Q000331:legislation & jurisprudence*; D012046:Rehabilitation; D013219:State Government; D014481:United States