It highlights our position that the Home and Community-based settings rule — initially proposed in 2008, finalized in 2014, and requiring full compliance as of March 2023 — isn’t a good fit for aging services providers. In the paper, we outline examples of why the rule doesn’t support the needs of aging participants or providers in the Medicaid HCBS program. We suggest a two-year enforcement moratorium while CMS reviews and disseminates compliance guidance for aging services providers. For more details on our position and the issues the settings rule has posed for aging services providers, read our explainer and the full paper.

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Kylee Childs, MSW, is the Director of Government Affairs.Since joining the association in 2023, she continues to be a fierce and resourceful advocate for aging services in Kansas. Her professional focus has always been service to others through advocacy. Kylee has a master’s degree in social work from the University of Missouri-Columbia, a bachelor's degree in criminology with a minor in Conflict Analysis and Trauma studies from Kansas State University, and a certificate in Grant Proposal Writing from Fort Hays State University. With a professional background in law enforcement and child welfare, and a successful 2023 legislative practicum with the Children's Alliance of Kansas, she brings rich professional experience to her role as Director of Government Affairs, and a front-line perspective on the needs of health and human services providers in our state. When not working, she's spending time with her two daughters. You can reach Kylee directly at 785.670.8051.