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Ation SMDL# 10-015 ACA # 6 August 6, 2010 Re: Improving Access to Home and Community-Based Services Dear State Medicaid Director: The purpose of this letter is to inform you of several changes to Section 1915(i) of the Social Security Act (the Act) made by the Affordable Care Act (ACA)1. These changes, which become effective October 1, 2010, include revised and new 1915(i) provisions for removal of barriers to offering home and communitybased services (HCBS) through the Medicaid State plan. This.
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