3 Identify Where When a modification to one of the requirements is needed, January 2016 June 2016 HCBS IT Changes List, Information is identify where required information will be documented in the Document Setting Included in the Individual Support Plan. Options Individual Support Plan 4 Develop Develop and publish communication regarding ISP July 2016 December 2016 Policy Document Communication documentation. This communication will include the additional information that must be included in the Individual Support Plan when a modification to a requirement is needed. 5 Revise On-site Revise on-site monitoring tool as necessary to monitor provider March 2018 August 2018 On-site Monitoring Tool Monitoring Tool compliance with this federal requirement. and ongoing 6 Provider Monitoring Assess providers for compliance with this requirement October 2018 March 2019 and On-site Monitoring ongoing Tools 7 Identify Providers found to be noncompliant with this requirement March 2019 March 2019 and Compliance Process Noncompliance during on-site monitoring will be required to submit a Plan of ongoing During On-site Correction and may have their waiver provider agreement Monitoring terminated if noncompliant with the Plan of Correction. CFR 441.301(c) (4) (vi) (E) In a provider-owned or controlled residential setting, the setting is physically accessible to the individual. Federal Requirement-42 – Assessment of current waiver, regulations, standards, policies, licensing requirements, and provider requirements: The following regulations were reviewed: 55 Pa. Code Chapters 51, 6400 and 6500. Licensing regulations for Community for Individuals with an Intellectual Disability (55 Pa. Code Chapter 6400) currently have a requirement that requires physical accessibility and accommodations for individuals with physical disabilities. # Action Item Description Date Target End Date Deliverable 1 Develop a Develop and publish a process/tool to determine how March 2016 August 2016 On-site Monitoring Tool Process/Tool individual accessibility can be verified during on-site monitoring to monitor provider compliance with this federal requirement. 2 Provider Monitoring Assess providers for compliance with this requirement October 2016 June 2017 and On-site Monitoring Tool ongoing 3 Identify Providers found to be noncompliant with this requirement May 2017 July 2017 and Compliance Process Noncompliance during on-site monitoring will be required to submit a Plan of ongoing
3 Identify Where Information is Included in the Individual Support Plan When a modification to one of the requirements is needed, identify where required information will be documented in the Individual Support Plan. January 2016 June 2016 HCBS IT Changes List, Document Setting Options 4 Develop Communication Develop and publish communication regarding ISP documentation. This communication will include the additional information that must be included in the Individual Support Plan when a modification to a requirement is needed. July 2016 December 2016 Policy Document 5 Revise On-site Monitoring Tool Revise on-site monitoring tool as necessary to monitor provider compliance with this federal requirement. March 2018 August 2018 and ongoing On-site Monitoring Tool 6 Provider Monitoring Assess providers for compliance with this requirement October 2018 March 2019 and ongoing On-site Monitoring Tools 7 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. March 2019 March 2019 and ongoing Compliance Process Federal Requirement-42 CFR 441.301(c) (4) (vi) (E) – In a provider-owned or controlled residential setting, the setting is physically accessible to the individual. Assessment of current waiver, regulations, standards, policies, licensing requirements, and provider requirements: The following regulations were reviewed: 55 Pa. Code Chapters 51, 6400 and 6500. Licensing regulations for Community for Individuals with an Intellectual Disability (55 Pa. Code Chapter 6400) currently have a requirement that requires physical accessibility and accommodations for individuals with physical disabilities. # Action Item Description Date Target End Date Deliverable 1 Develop a Process/Tool Develop and publish a process/tool to determine how individual accessibility can be verified during on-site monitoring to monitor provider compliance with this federal requirement. March 2016 August 2016 On-site Monitoring Tool 2 Provider Monitoring Assess providers for compliance with this requirement October 2016 June 2017 and ongoing On-site Monitoring Tool 3 Identify Noncompliance Providers found to be noncompliant with this requirement during on-site monitoring will be required to submit a Plan of May 2017 July 2017 and ongoing Compliance Process
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