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Home and Community Based Services – HCBS

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 implement the requirements for home and community-based settings in accordance with this Final Rule.

DDS – HCBS Final Rule Guide

Everyone who receives, or provides, HCBS services may be affected by the CMS Final Rule. Activities are happening now to help California meet these new requirements.


VMRC Hosted HCBS Trainings

VMRC will be hosting monthly trainings for vendors on Home and Community Based Services. Trainings will be provided separately for Residential Service Providers and also for Day Program//Employment Program Providers.


HCBS Provider Assessments

Vendors who provide services under these Eligible Service Codes were previously required to submit a vendor self-assessment document to DDS. This phase of the HCBS provider assessment process was completed in August of 2020. The following compliance report was provided to VMRC regarding eligible vendors compliance.

HCBS Final Rule Compliance Report VMRC

The next phase of HCBS provider assessments will be conducted by a third-party vendor, Public Consulting Group (PCG), contracted by DDS. PCG will be completing virtual site visits with vendors selected by DDS. These virtual site visits will be conducted between now and June 30th, 2021. Selected vendors have been notified by VMRC.

DDS Notification to Regional Centers of Virtual Site Assessments

PCG Letter to Selected Vendors

Virtual Site Assessments FAQ’s

CMS issued guidance to states on July 14, 2020, indicating that the transition period for ensuring compliance with the HCBS Final Rule has been extended one year to March 17, 2023, in response to the COVID-19 pandemic. The guidance can be found here: https://www.medicaid.gov/Federal-Policy-Guidance/Downloads/smd20003.pdf.


HCBS Compliance Grant Funding Information

 

2021/2022 FY HCBS Compliance Funding Opportunity has Arrived!

 

VMRC will be hosting Virtual Office Hours to assist with the HCBS Compliance Funding application process. Drop in with your questions related to your concept/proposal for funding. If you would like your documents to be discussed in detail during the Virtual Open Office Hours, email them to Anna Sims, asims@vmrc.net,  prior to the session(s) you plan to attend. Include “Draft HCBS Concept/Proposal” as well as your vendor name and number in the subject line of the email. Please click on the flyer below to register for one or more of the Virtual Open Office Hours.

HCBS Compliance Funding Virtual Office Hours

 

HCBS Compliance Funding for the 2021/2022 FY Information and Documents

DDS has announced a new round of HCBS Compliance Grant Funding for the 2021-2022 Fiscal Year! Vendors with eligible service codes (see below) are strongly encouraged to apply for grant funding to assist with bringing your programs into compliance with the federal regulations by the compliance deadline of March 17th, 2023. Vendors are encouraged to thoroughly read previously approved grants, available on DDS’s website, to get ideas for their own grant submissions. The deadline for submission of grant proposals to VMRC is November 12th, 2021. No proposals submitted after that date will be accepted.

 

All available documentation related to the grant are available on DDS’s webpage at https://www.dds.ca.gov/initiatives/cms-hcbs-regulations/hcbs-compliance-funding/

 

HCBS Funding Letter FY 2021-2022

HCBS Funding Guidelines FY 2021-2022

HCBS Funding FY 2021-2022 Attachment C Documents

HCBS Funding FY 2021-2022 Budget Template

HCBS Funding FY 2021-2022 Attachment D (for informational purposes only, document to be completed by VMRC

Eligible Service Codes List

 


 

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/

 


Questions? Contact Anna Sims, Sr. Community Services Liaison, HCBS at asims@vmrc.net