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Questions and Answers Regarding Home and Community- based Settings Planned Construction of Presumed Institutional Settings

Guidance for questions and answers clarifying planned or new construction of presumed institutional settings and state approaches for the heightened scrutiny process. This document also addresses restrictions and modifications to person-centered service plans.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: January 01, 2015

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.