Here is a site worth looking at.
Recently, the Centers for Medicare and Medicaid Services (CMS) published the final rule related to Home and Community Based Services Settings (HBCS) for Medicaid-funded long term services and supports provided in non-institutional residential settings. This rule implements a number of changes to home and community based waivers, finalizes regulatory changes to the 1915(i) state plan home and community based services and imposes new requirements on what is considered an appropriate home/community based residential setting for all the authorities in its scope.
Here is a link to the Proposed State Transition Plan.
Also, here is a link to a power point recently provided.