- Individuals no longer have to meet an institutional level of care requirement in order to qualify for HCBS.
- States may provide a broadly defined range of community-based services to persons with chronic mental illnesses and/or substance use disorders.
- States may provide these community-based services to persons whose incomes are 300% of the SSI income benefit.
- Benefits can be targeted to specific population groups or specific functional needs groups without violating Medicaid’s comparability requirements – this means a state could target persons with chronic mental illnesses, for example.
For more details on the changes to home- and community-based services under healthcare reform, visit the Understand the New Law page.