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Home and Community Based Services Settings Final Rule

In 2014, the federal Centers for Medicare and Medicaid Services (CMS) published a rule requiring home- and community-based services (HCBS) to be provided in settings that meet certain criteria. The criteria ensure that HCBS participants have access to the benefits of community living and live and receive services in integrated, non-institutional settings.  Colorado has fully implemented this rule.

CMS Guidance

These resources are provided by the Centers for Medicare and Medicaid Services (CMS)

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HCPF Guidance

HCBS Setting Rule - 10 CCR 2505-10 section 8.7001.A and .B

Operational Memo 25-041 - HCBS Settings Final Rule - Updated Informed Consent Template for Rights Modification - June 24, 2025

Operational Memo 24-062 - Protected Rights and Rights Modifications in the Home and Community-Based Services Program - December 17, 2024

Operational Memo 22-052 - HCBS Settings Final Rule — Rights Modification Reminders And Training For Case Managers - Nov. 8, 2022

Community Integration Tips - September 2, 2022

Informational Memo 22-028 - HCBS Settings Final Rule - Videos for Members - August 24, 2022

Operational Memo 22-020 - Implementation of the HCBS Settings Final Rule within the Children’s Habilitation Residential Program (CHRP) - May 9, 2022

Operational Memo 21-066 -  HCBS Settings Final Rule - Use of Updated Documents - September 24, 2021

Informational Memo 21-044 - HCBS Settings Final Rule - Trainings on Individual Rights and Rights Modification – July 1, 2021

Responses to Frequently Asked Questions (FAQs)

To request a copy of guidance materials that are no longer available online, please contact HCPF_HCBS_Questions@state.co.us

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Forms and Training Presented by HCPF

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Resources

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Correspondence Between HCPF and CMS

To request a copy of older correspondence between HCPF and CMS, please contact HCPF_HCBS_Questions@state.co.us

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Contact Us

To provide feedback to HCPF about any HCBS setting, email us at HCPF_HCBS_Questions@state.co.us

To ask a question about the HCBS Settings Final Rule or report a concern about possible noncompliance, you may:

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