Stakeholders are urging CMS to quickly issue a flexible guidance on how and when states can use the American Rescue Plan’s 10 percentage point increase in federal Medicaid matching funds for home- and community-based services, with some asking for specific permission to spend on items including the direct support workforce and bolstering technology. The American Rescue Plan requires that the increased federal match supplement -- rather than supplant -- state funds for HCBS and that it be used to enhance,...