The State of America's Direct Support Workforce Crisis 2026

New data reveal little sign of meaningful progress ahead of impending wave of funding cuts.
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Habilitation Services and the Access Rule

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On May 10, 2024, CMS published the final rule, Ensuring Access to Medicaid Services Rule. CMS did not expand the 80% threshold requirement to habilitation services for people with I/DD. CMS did apply the 80% threshold to homemaker, home health aide, and personal care services.

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