Abstract
The HCBS Advocacy Coalition is dedicated to the successful implementation of the HCBS Settings Rule. If implemented well, the Rule has the potential to-and should-improve the quality of Medicaid-funded home and community-based service systems at all levels: systemically at the state level, at the provider level, and at the individual participant level. As states are implementing the Rule, it is critical that states, together with stakeholders, engage in conversations about how to best benchmark where their systems currently are and how to measure progress. We believe this is a critical piece of the ongoing monitoring requirements of the Rule and of successful system reform more generally.