CMS issued guidance Friday (March 22) to state Medicaid directors on how to implement home and community-based services (HCBS) regulations from 2014, including clarifications of the heightened scrutiny process and how states might design reports aimed at avoiding that process. A final rule, issued in 2014, established requirements for home and community-based settings in Medicaid. It includes a review process for CMS to use so-called heightened scrutiny to determine if certain care settings which at first blush appear to be...