Earlier this year, CMS issued a new rule on home and community based services that requires agencies to administer person-centered care for its clients. CMS and many DD advocates believe that a person receiving HCBS should be able to direct their care planning process, including defining their own goals and preferences on how to achieve them. This planning process is also intended to include members of the client’s circle of care, whom the client chooses. Guidance on how states operationalize this is yet to be released to states, but the intention is clear – provide more freedoms and rights to individuals being served in home and community based settings. While you can’t argue that point, there are some questions and concerns about how far person centered planning goes; especially if decisions or goals go against the agency’s duty to protect the health and safety of the individuals they serve.