HCBS Settings Rule

The Home and Community-Based Services (HCBS) Settings rule features requirements for all residential and non-residential settings funded through Medicaid as part of HCBS. This includes adult day services, assisted living/HWS, memory care, group homes and employment services.

This page provides information on the HCBS Settings Rule and Standards, the Minnesota State Transition Plan, and resources to help you reach compliance. 

Attestation: Onsite Assessment Guide

Some HCBS sites will require a visit by DHS to overcome the presumption that the setting has institutional qualities. Download the Onsite Assessment Expectations guide so you know what to expect during this visit. 

Onsite Assessment Expectations

What to Expect after a Site Visit is Complete

Putting the HCBS Rule into Practice

Informational guidance, best practices and examples to assist waiver providers understand each of the new requirements and generate ideas for HCBS-compliant practices. 

A Provider's Guide to HCBS Rule 

HCBS Settings Rule Attestation Process

HCBS providers of waivered services, including Customized Living and Adult Day Services, must complete an Attestation Process required by DHS. 

Customized Living Provider Attestation Guidebook

Adult Day Provider Attestation Guidebook 

Aug 2017: HCBS Settings Rule - Attestation Update 

HCBS Provider Attestation Results 

HCBS Settings Attestation Process PPT

DHS Attestation Resources

Need Help?

We're here to help you! Contact:

  • Bobbie Guidry
  • Vice President Assisted Living and Housing
  • 651.603.3508 or 800.462.5368