CMS has issued a proposed rule that would provide states with additional flexibility in obtaining waivers to offer Medicaid HCBS. Among other things, the rule would: allow states to combine more than one target population in a single waiver if certain conditions are met; promote person-centered service and support plans; describe characteristics of settings that are not considered home and community-based, and clarify the public notification process for state waiver modifications. Comments on the proposed rule will be accepted until June 14, 2011.