Skip to main content

HHSC Publishes IL 2022-49: Assessment of 3-Person Residences, 4-Person Residences, and Host Home/Companion Care (HH/CC) Settings for Compliance with Federal Home and Community Based Services (HCBS) Settings Rule

Last updated on 9/23/2022

HHSC publishes IL 2022-49 to inform HCS program providers of upcoming assessments of HCS 3-person residences, 4-person residences, and HH/CC settings which will be conducted to assess compliance with certain requirements of the federal HCBS Settings Rule.

In March 2014, the Centers for Medicare and Medicaid Services (CMS) issued the federal HCBS Settings Rule which added requirements for settings where Medicaid HCBS are provided. The deadline for compliance with the HCBS Settings Rule, or for any remediation needed if the assessment determines that an HCS residential setting is not in compliance with the federal HCBS Settings Rule, is March 17, 2023. The HCBS Settings Rule applies to the HCS waiver program. See IL 2022-49 for more details on the Federal HCBS Settings Rule, the assessment criteria and the assessment process.

Email questions to