Ensuring Continuity of Coverage for Individuals Receiving Home and Community-Based Services
The purpose of this CMCS Informational Bulletin (CIB) is to highlight federal renewal
requirements and available flexibilities to promote continuity of coverage for individuals eligible
for Home and Community-Based Services (HCBS) through Medicaid. HCBS is a cornerstone of
long-term services and supports (LTSS) in the Medicaid program, enabling certain Medicaid
enrollees to live and receive care and services in their home or the community rather than an
institution and in such a way that promotes individual choice, control, and access to services. The
loss of HCBS can pose a risk to beneficiaries’ health or result in institutionalization.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 19, 2024
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.