# Medicaid Program; Home and Community-Based Services
> **Centers for Medicare and Medicaid Services** · Final rule with comment period. · Published 2000-10-10 · Effective 1997-10-01 · 65 FR 60105
## Document
- **Document number:** 00-25496
- **Category:** medicaid
- **Sub-agency:** Centers for Medicare and Medicaid Services
- **Federal Register citation:** 65 FR 60105
- **CFR reference:** 42 CFR 440
- **Publication date:** 2000-10-10
- **Effective date:** 1997-10-01
- **HHS docket:** HCFA-2010-FC
## Abstract

This final rule with comment period expands State flexibility in providing prevocational, educational, and supported employment services under the Medicaid home and community-based services waiver provisions currently found in section 1915(c) of the Social Security Act (the Act); and incorporates the self-implementing provisions of section 4743 of the Balanced Budget Act of 1997 that amends section 1915(c)(5) of the Act to delete the requirement that an individual have prior institutionalization in a nursing facility or intermediate care facility for the mentally retarded before becoming eligible for the expanded habilitation services. In addition, we are making a number of technical changes to update or correct the regulations.

## Source
- [Federal Register document](https://www.federalregister.gov/documents/2000/10/10/00-25496/medicaid-program-home-and-community-based-services)
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