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Freedoms and Protections for Participants

residing in provider owned, operated/controlled residential settings

The Settings final rule requires that all participants in Medicaid-funded services have opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, have full access to benefits of community living, and opportunities to receive services in the community to the same degree as people who do not receive home and community based services. The following fact sheets highlight some participant freedoms and protections required by the Settings final rule.

Find out more information from the links below:



Freedom and support to access food at any time of the day.


Freedom and protection to have a lock on your bedroom door.


Freedom to choose your compatible roommate.

Freedom to have visitors of your choice at any time.




Freedom to a flexible curfew.


Note: There are sometimes limitations to these freedoms; please click on each icon to read more.