Maintenance of Effort Home and Community-Based Services QA 11-009
Guidance for : This letter and the accompanying Questions and Answers (Q&As) are part of a series that provide guidance on the �maintenance of effort� (MOE) provisions in the Patient Protection and Affordable Care Act, P.L. 111-148, as amended by the Health Care and Education Reconciliation Act of 2010, P.L. 111-152 (together known as the Affordable Care Act). The policies contained in the attached Q&As build upon and clarify the guidance previously issued on the MOE provisions of the American Reinvestment and Recovery Act (the Recovery Act) and their relationship to institutional level of care requirements and home and community-based services (HCBS).
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 05, 2011
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