Federal Requirement-441.301(c) (4) (iv) setting optimizes, but does not regiment, individual initiative, autonomy, and independence in making life choices, –The including but not limited to: daily activities, physical environment, and with whom to interact Assessment of current waiver, regulations, standards, policies, licensing requirements, and other provider requirements: The following regulations were reviewed: 55 Pa. Code Chapters 51, 2380, 6400 and 6500. Licensing regulations for Community for Individuals with an Intellectual Disability (55 Pa. Code Chapter 6400) and Family Living Homes (55 Pa. Code Chapter 6500) currently have requirements that day services such as employment, education, training, volunteer, civic-minded and other meaningful opportunities shall be offered to the individual. # Action Item Description Start Date Target End Date Deliverable 1 Develop Policy Develop policy with stakeholder input regarding settings that April 2015 July 2015 Initial Draft of Home and have the effect of isolating individuals receiving HCBS from the Community-Based broader community of individuals not receiving HCBS and Characteristics Policy settings that will be considered home and community-based. 2 Public Comment on Release initial draft home and community-based characteristics August 2015 September 2015 Draft of Home and Policy policy for public comment. Revise policy based on public Community-Based comment as needed. Characteristics Policy 3 CMS Review of Policy Send final draft home and community-based characteristics October 2015 November 2015 Final Draft of Home and policy to CMS for review and comment. Revise policy based on Community-Based CMS feedback as needed. Characteristics Policy 4 Publication of Policy Publish home and characteristics policy. December 2015 December 2015 Home and Characteristics Policy 5 Develop/Distribute Identify, develop, and distribute training tools and policy January 2016 January 2017 Training and Policy Training Tools and updates that are needed for compliance with this federal and ongoing Updates Policy Updates requirement. 6 Revise On-site Revise on-site monitoring tools as necessary to monitor provider 2016 2019 and On-site Monitoring Monitoring Tools compliance with this federal requirement. ongoing Tools 7 Provider Monitoring Assess providers for compliance with this requirement. September 2016 March 2019 and On-site Monitoring ongoing Tools 8 Identify Providers found to be noncompliant with this requirement January 2017 March 2019 Compliance Process Noncompliance during on-site monitoring will be required to submit a Plan of During On-site Correction and may have their waiver provider agreement Monitoring terminated if noncompliant with the Plan of Correction.
Federal Requirement-441.301(c) (4) (iv) –The setting optimizes, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to: daily activities, physical environment, and with whom to interact Assessment of current waiver, regulations, standards, policies, licensing requirements, and other provider requirements: The following regulations were reviewed: 55 Pa. Code Chapters 51, 2380, 6400 and 6500. Licensing regulations for Community for Individuals with an Intellectual Disability (55 Pa. Code Chapter 6400) and Family Living Homes (55 Pa. Code Chapter 6500) currently have requirements that day services such as employment, education, training, volunteer, civic-minded and other meaningful opportunities shall be offered to the individual. # Action Item Description Start Date Target End Date Deliverable 1 Develop Policy Develop policy with stakeholder input regarding settings that have the effect of isolating individuals receiving HCBS from the broader community of individuals not receiving HCBS and settings that will be considered home and community-based. April 2015 July 2015 Initial Draft of Home and Community-Based Characteristics Policy 2 Public Comment on Policy Release initial draft home and community-based characteristics policy for public comment. Revise policy based on public comment as needed. August 2015 September 2015 Draft of Home and Community-Based Characteristics Policy 3 CMS Review of Policy Send final draft home and community-based characteristics policy to CMS for review and comment. Revise policy based on CMS feedback as needed. October 2015 November 2015 Final Draft of Home and Community-Based Characteristics Policy 4 Publication of Policy Publish home and characteristics policy. December 2015 December 2015 Home and Characteristics Policy 5 Develop/Distribute Training Tools and Policy Updates Identify, develop, and distribute training tools and policy updates that are needed for compliance with this federal requirement. January 2016 January 2017 and ongoing Training and Policy Updates 6 Revise On-site Monitoring Tools Revise on-site monitoring tools as necessary to monitor provider compliance with this federal requirement. 2016 2019 and ongoing On-site Monitoring Tools 7 Provider Monitoring Assess providers for compliance with this requirement. September 2016 March 2019 and ongoing On-site Monitoring Tools 8 Identify Noncompliance During On-site Monitoring Providers found to be noncompliant with this requirement during on-site monitoring will be required to submit a Plan of Correction and may have their waiver provider agreement terminated if noncompliant with the Plan of Correction. January 2017 March 2019 Compliance Process
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