The concept of person-centered planning has been at play for decades, yet the publication of the Home and Community-based Services (HCBS) Settings Final Rule (“Final Rule”) in 2014 was the first time person-centeredness was explicitly tied to ongoing funding of home and community-based settings under the various Medicaid waiver authorities. As states work to comply with the Final Rule, agencies and service providers should embrace the important role they play in a state’s ability to make the shift to person-centeredness.