The federal Centers for Medicare and Medicaid Services published the Home and Community Based Services Settings Final Rule setting forth new requirements for several Medicaid authorities under which states may provide home and community based services. The regulations went into effect in March 2014, providing the states 5 years to ensure that all home and community based settings are compliant with the rule.

Young adults with intellectual and developmental disabilities (I/DD) often struggle during the transition process from high school to adulthood. After age 21, young adults with disabilities "age out" of the myriad services and supports required by law through the school system and transition into the state agency responsible for providing services and supports to adults with I/DD. This transition is an abrupt change that many parents and youth characterize...