Home and Community-Based Services (HCBS) were developed to offer support to individuals in community settings, as an alternative to institutional care. In 2014, new federal rules were released by the Centers for Medicare & Medicaid Services (CMS), requiring homes and programs where HCBS are delivered to meet new criteria. The Department and its partners, including DDS and California’s 21 Regional Centers are working to maintain and fully implement the requirements for home and community-based settings in accordance with this Final Rule.
DDS – HCBS Final Rule Guide for Providers and HCBS Plain Language Guide
DDS Directive on 2023/2024 HCBS Onsite Assessments
Everyone who receives, or provides, HCBS services may be affected by the CMS Final Rule.
VMRC Hosted HCBS Trainings
VMRC will continue hosting trainings for Residential Providers, Day Program Providers and Employment Services Providers. Service providers under the following service codes are strongly encouraged to sign up for one of the trainings provided. It takes time and effort to implement these requirements. Eligible service codes are:
Residential: 096, 113, 902, 904, 905, 915, 910, 920
Employment Services: 950 and 954
Day Program Services: 028, 055, 063, 475, 505, 510, 515, 855
You must register to take the training. Once you have registered you will receive a link for the Teams session on the date you have chosen. For attendance purposes please have each staff taking the training register with their own contact information including their email address. Any last-minute changes to the scheduled trainings will be communicated to the registered individuals by email at the email address they have provided.
2025 Day and Employment Program Training Flyer
2025 Residential Training Flyer
VMRC has hosted many trainings for Residential, Day Program and Employment Program Providers. Copies of the Power Point Presentations are linked below:
- HCBS FINAL RULE POWERPOINT – DP-SEP-WAP 6-2024H
- HCBS FINAL RULE POWERPOINT – RESIDENTIAL updated 10-2024H
- CMS Heightened Scrutiny Report and 2023/2024 HCBS Assessment Process
HCBS Other Documents
- RSP HCBS Assessment and Compliance Summary FINAL 3-15-24H
- DP HCBS Assessment and Compliance Summary FINAL 3-15-24H
- Letter to Incoming Providers
HCBS Resources
HCBS information from DDS: https://www.dds.ca.gov/initiatives/cms-hcbs-regulations/
Training video done by DDS and PCG regarding HCBS compliance: https://www.youtube.com/watch?v=azBUcK8zRzo
DDS and PCG training regarding providing services that are in alignment with the HCBS Final Rule: https://www.youtube.com/watch?v=6GYBdMOstmk
DDS and Support Development Associates (SDA) training on the HCBS Final Rule and how it is supported by Person-Centered Planning https://www.youtube.com/watch?v=QUWmXyydTbo
HCBS Advocacy Coalition https://hcbsadvocacy.org/
Contact Anna Sims, SCSL, HCBS Program Evaluator with questions:
Email: [email protected]
(209) 955-3353