NATIONAL COUNCIL ON DISABILITY: Strengthening the HCBS Ecosystem – Responding to Dangers of Congregate Settings during COVID-19
In the wake of the disproportionate death toll in congregate settings during the COVID-19 pandemic, this report examines weaknesses in the home and community-based services (HCBS) ecosystem and outlines a roadmap to expand community living options to meet the needs of people with disabilities across the lifespan. The 2014 Medicaid HCBS Settings Rule added specific requirements to ensure integrated settings were truly community-based. Much of the requirements to meet the Settings Rule are reflected in self-directed waiver services.
