Following a 30-day comment period, LeadingAge submitted comments on a proposal from the Centers for Medicare and Medicaid Services (CMS) outlining quality measures for mandatory state reporting on home and community based services programs in 2029. The measures include analysis of administrative data and adoption of survey tools and specific measures from the list provided by CMS. Participant outcome and satisfaction responses would require significant additional administrative burden on states. LeadingAge proposed that CMS should foot the bill and direct states to contract out directly for survey administration to assure consistency in survey sampling, surveyor training, and not impose additional burden on providers. Our comments can be found here.