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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 Information

 

DDS is currently reviewing applications for the 2020-2021 HCBS Compliance Grant funding cycle. VMRC received 26 applications for grant projects intended to assist providers with bringing their programs into compliance with the HCBS Final Setting Rules. DDS will notify VMRC of the selected awardees by April 30th, 2021.

 

Letter to HCBS Grant Applicants, February 1, 2021

 

Compliance Evaluation and Concept Form (Attachment C)

 

Concept Budget Template

 


 

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