Executive Summary
This webinar informs advocates about the May 2024 regulations in the HCBS Access Rule that require states to implement a grievance process for individuals receiving Medicaid Home and Community Based Services (HCBS). These regulations require states with fee-for-service (FFS) HCBS programs to implement a grievance process by December 31, 2027. The webinar also provides advocates with suggestions and ideas for how states can build and test a grievance process responsive to the needs of people using HCBS. Additionally, the presentation discusses the differences between grievances, appeals, and critical incidents and the importance of states making sure these systems are well integrated. It also points to progress that some states have already made implementing their grievance processes.