The Home and Community-Based Settings (HCBS) Standards are designed to improve HCBS programs by ensuring the quality of Home and Community-Based Services; provide rights protections for participants, maximize opportunities for individuals to have full access to the benefits of community living, and ensure individuals can receive services in the most integrated setting. HCBS programs serve a variety of targeted populations, such as people with intellectual or developmental disabilities, physical disabilities, and/or mental illnesses.

The final Home and Community-Based Services regulations set forth new requirements under which states may provide home and community-based long-term services and supports. The regulations are meant to enhance the quality of HCBS and provide additional protections to individuals that receive services under Medicaid authorities. The Alabama Department of Mental Health's Division of Developmental Disabilities along with Alabama Medicaid, have fully implemented the Home and Community-Based Settings Rule as required. HCBS compliance monitoring activities continue on a regular basis to ensure ongoing abidance with federal guidelines and best practices.