CMS Medicaid HCBS authorities guidance
CMS explains the main Medicaid home- and community-based services authorities states can use, including 1915(c), 1915(i), 1915(j), and 1915(k).
Federal · Active · Implementation Jul 4, 2026
What it is
- What changed
- CMS's HCBS authorities page explains that states have several Medicaid HCBS options, including 1915(c) waivers, 1915(i) state plan HCBS, 1915(j) self-directed personal assistance services, and 1915(k) Community First Choice. CMS's HCBS quality page connects those authorities to quality measurement and quality-improvement work.
- Why it matters
- A caregiver-facing corpus needs one federal guidance anchor that distinguishes the Medicaid authorities behind state waiver, self-direction, and community-first-choice pathways without turning the row into eligibility advice.
- Who it touches
- Family caregivers, People receiving care, Businesses and agencies that must complyMedicaid HCBS beneficiaries, family caregivers, disabled people, older adults, state Medicaid agencies
- What it does
- Pays people (wages, leave, credits, stipends); Funds programs or services; Plans, studies, registries or guidance
Sources
Last reviewed Jul 4, 2026. This is information, not legal advice; check the source for the current text.