A federal rule–the Community Rule–requires home- and community-based services (HCBS) covered by Medicaid HCBS waivers to be provided in settings that meet certain criteria. The Community Rule ensures that HCBS waiver participants have access to the benefits of community living, and that they live and receive services in integrated, non-institutional settings.
The Community Rule applies to
- The participant’s home—that is, where the waiver participant lives, and
- Other settings where participants receive services. This could include where a waiver participant works or goes to a day program.
The following lists describe some features of home or other settings that comply with the Community Rule.
|Characteristics of the Home||Characteristics of Other Service Settings|
An HCBS waiver participant may file a grievance with the state if they believe that one of their settings does not have these characteristics.
To report a setting that you believe is not compliant with the Community Rule, you may complete the Community Rule Grievance Form and email it to us at CommunityRuleGrievance@mass.gov. See Additional Resources, below. You may also call us at (617) 573-1751.
|Date published:||June 27, 2023|