The Home and Community Based Services (HCBS) settings rule (CMS 2249-F/2296-F) strictly enforces meaningful community-based settings for those receiving Medicaid HCBS funding. Stakeholders have the opportunity to impact states' setting rule plans and hold states accountable to ensure rules are truly community based. Yet, the complex rule can be…

This article explores how providing early intervention in natural environments reinforces family-centered care, discusses benefits for all parties when therapy is provided within daily routines and settings, describes a decision-making process for embedding natural environments within intervention, and concludes by identifying challenges and…

Designed as a starting point for anyone interested in home-based programs, this packet provides resources and basic information for program development and describes in particular the Child Development Associate (CDA) Program, a national effort embodying a new concept of training, assessing, and credentialing child care staff. Brief background…