CMS recently updated its guidance on Specialized Services to clarify that Specialized Services can only be provided while individuals reside in nursing facilities. States are obligated to provide or arrange for the disability-specific services that individuals need while in NFs.
CMS and PTAC presented this guidance at the annual Home and Community-Based Services conference in September 2013. For more information, please consult the slides from that presentation, which you can download here.
Questions about this new guidance can be submittted via the home page of the PTAC website, or directly to PTAC Director Ed Kako.