- CMS Gives States Until 2022 to Meet Medicaid Standards on Home and Community-Based Care Kaiser Health News by Phil Galewitz—The Trump administration has given states three extra years to carry out plans for helping elderly and disabled people receive Medicaid services without being forced to go into nursing homes. Federal standards requiring states to find ways of delivering care to Medicaid enrollees in home and community-based settings will take effect in 2022 instead of 2019, the Centers for Medicare and Medicaid Services (CMS) announced this week. The standards were set by an Obama administration rule adopted in 2014 that governs where more than 3 million Medicaid enrollees get care.