The Home and Community Based Settings Rule (HCBS Settings Rule): What It Is, Why It Matters, And How to Advocate for It | Autistic Self Advocacy Network

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The Home and Community Based Settings Rule (HCBS Settings Rule): What It Is, Why It Matters, And How to Advocate for It


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Action Center   ➞   Issue Tracker   ➞  Community Living  ➞  HCBS Settings Rule

Introduction

People with disabilities don’t want to live in separate places built for us. We want to live with everyone else! Community living means living in the same places as people without disabilities. A community can be a neighborhood, town, or city. It can be any place where disabled and non-disabled people live together. 

Long-term services and supports (LTSS) funded by Medicaid – a government program – help people with disabilities do everyday chores and tasks. Medicaid is one of the only programs that helps pay for LTSS. 

There are different kinds of LTSS providers. Some people get LTSS in institutions. Institutions are places where lots of people live. In these places, people with disabilities are isolated from people without disabilities. Institutions are bad for us. 

Other people get LTSS in their community. Home and community-based services (HCBS services) are LTSS when they are given to us in the community. ASAN wants people [...]

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