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Webinar on Themes Identified from CMS’ Heightened Scrutiny Site Visits

November 10, 2022

Wednesday, November 16, 2022 | 1:30-3 PM ET

Register for the webinar.

The Medicaid Home and Community-Based Services (HCBS) Settings final rule went into effect on March 17, 2014. The rule set specific requirements for settings presumed to have institutional characteristics, including those in institutions, on the grounds of or adjacent to a public institution, and those that have qualities that isolate Medicaid beneficiaries. Referred to as “presumptively institutional settings,” states are required to assess these settings and, where the state has determined that the setting overcomes the institutional presumption and complies or will comply with the settings rule by March 17, 2023, submit to CMS documentation that demonstrates the setting’s compliance. With participation and assistance from ACL, CMS has launched a series of heightened scrutiny site visits to presumptively institutional settings in states. This training will cover:

  • An overview of the heightened scrutiny site visit process
  • Overarching themes identified during the heightened scrutiny site visits
  • Considerations for states moving forward

Following the presentation, webinar participants will have the opportunity to share any questions, comments, experiences, or suggestions with CMS and the presenter.



Please note closed captioning will be provided.



Contact Elliot Kennedy with any questions.


Last modified on 11/10/2022


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