2 Identify Identify where setting options provided to individuals will be January 2016 June 2016 HCBS IT Changes List, Information is Included documented in the Individual Support Plan Document Setting in the Individual Options Support Plan 3 Develop Develop and publish communication regarding required July 2016 March 2017 Policy Document Communication Individual Support Plan documentation. 4 Develop/Distribute Identify, develop, and distribute training tools and policy April 2017 March 2019 Training Tools and Training and updates as needed for compliance with this requirement. Policy Updates Policy Updates 5 Revise On-site Revise on-site monitoring as necessary. March 2018 August 2018 On-site Monitoring Monitoring Tools 6 Provider Monitoring Assess providers for compliance with this requirement. October 2018 March 2019 and Individual Support Plan, Ongoing On-site Monitoring Tool 7 Identify Providers to be noncompliant with this requirement March 2019 March 2019 and Compliance Process Noncompliance during during on-site monitoring will be required to submit a Plan of Ongoing On-site Monitoring Correction and may have their waiver provider agreement terminated if noncompliant with the Plan of Correction. Federal Requirement-441.301(c) (4) (iii) The setting ensures individual rights of privacy, dignity and respect, and freedom from coercion and restraint – 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 Homes for Individuals with an Intellectual Disability (55 Pa. Code Chapter 6400) and Family Living Homes (55 Pa. Code Chapter 6500) currently have requirements that individuals have the right to privacy in bedrooms, bathrooms, and during personal care. These regulations also contain the requirement that individuals have the right to reasonable access to a telephone and the opportunity to receive and make private calls, with assistance when necessary. 55 Pa. Code Chapter 51 requires that participants who receive HCBS through BAS be treated with dignity and respect. This regulatory chapter also states that providers of HCBS s may not use the following: seclusion; chemical restraint; mechanical restraint; prone position manual restraint; or a manual restraint that inhibits the respiratory and digestive system, inflicts pain, causes hypertension of joints and pressure on the chest or joints, or uses a technique in which the participant is not supported and allows for free fall as the participant moves to the floor.
2 Identify Information is Included in the Individual Support Plan Identify where setting options provided to individuals will be documented in the Individual Support Plan January 2016 June 2016 HCBS IT Changes List, Document Setting Options 3 Develop Communication Develop and publish communication regarding required Individual Support Plan documentation. July 2016 March 2017 Policy Document 4 Develop/Distribute Training and Policy Updates Identify, develop, and distribute training tools and policy updates as needed for compliance with this requirement. April 2017 March 2019 Training Tools and Policy Updates 5 Revise On-site Monitoring Tools Revise on-site monitoring as necessary. March 2018 August 2018 On-site Monitoring 6 Provider Monitoring Assess providers for compliance with this requirement. October 2018 March 2019 and Ongoing Individual Support Plan, On-site Monitoring Tool 7 Identify Noncompliance during On-site Monitoring Providers 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-441.301(c) (4) (iii) – The setting ensures individual rights of privacy, dignity and respect, and freedom from coercion and restraint 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 Homes for Individuals with an Intellectual Disability (55 Pa. Code Chapter 6400) and Family Living Homes (55 Pa. Code Chapter 6500) currently have requirements that individuals have the right to privacy in bedrooms, bathrooms, and during personal care. These regulations also contain the requirement that individuals have the right to reasonable access to a telephone and the opportunity to receive and make private calls, with assistance when necessary. 55 Pa. Code Chapter 51 requires that participants who receive HCBS through BAS be treated with dignity and respect. This regulatory chapter also states that providers of HCBS s may not use the following: seclusion; chemical restraint; mechanical restraint; prone position manual restraint; or a manual restraint that inhibits the respiratory and digestive system, inflicts pain, causes hypertension of joints and pressure on the chest or joints, or uses a technique in which the participant is not supported and allows for free fall as the participant moves to the floor.
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