The Home and Community-Based Services (HCBS) rules ensure that people with disabilities have full access to and enjoy the benefits of community living through services and supports in the most integrated settings of their choosing. In order to assist in determining eligibility for compliance funding, providers must complete this evaluation. Both and answers require an explanation. A response could “Yes” “No” “No” mean a service setting is out of compliance with the HCBS rules and is potentially eligible for funding to make necessary modifications. Once this evaluation is completed, it should act as a guide for filling out the Provider Compliance Funding Concept Proposal, which is required for any provider to be eligible for compliance funding. Completion of this evaluation is for the sole purpose of applying for compliance funding and does not take the place of future provider assessments that DDS may require to determine provider compliance with the HCBS settings rules. Only providers requesting compliance funding need to complete this evaluation. Federal Requirements #1-5 apply to providers of all services, including residential and non-residential settings. Federal Requirements #6-10 are additional requirements that apply only to provider-owned or controlled residential settings. The column labeled contain a series of questions intended to help identify “Guidance” compliance or non-compliance with each requirement as it relates to the HCBS rules. While responses to these questions can help in the determination of whether or not a particular requirement is met, these responses may not be the sole factor in this determination. More information on the HCBS rules and this form can be found at: . Questions may be directed to HCBSregs@dds.ca.gov. Date(s) of Evaluation: Completed by: Vendor Name, address, contact: Service Type and Code: Federal Requirement #1: Guidance: The setting is integrated in and supports Do individuals have options for full access of individuals receiving community integration and utilization of Medicaid HCB Services to the greater community services in lieu of onsite community, including opportunities to seek services? employment and work in competitive Are individuals able to regularly access integrated settings, engage in community the greater community and are they able life, control personal resources, and to describe how they access the receive services in the community, to the community, who assists in facilitating the same degree of access as individuals not activity, and where he or she goes? receiving Medicaid HCB Services. Do individuals get support to access the community?
The Home and Community-Based Services (HCBS) rules ensure that people with disabilities have full access to and enjoy the benefits of community living through services and supports in the most integrated settings of their choosing. In order to assist in determining eligibility for compliance funding, providers must complete this evaluation. Both “Yes” and “No” answers require an explanation. A “No” response could mean a service setting is out of compliance with the HCBS rules and is potentially eligible for funding to make necessary modifications. Once this evaluation is completed, it should act as a guide for filling out the Provider Compliance Funding Concept Proposal, which is required for any provider to be eligible for compliance funding. Completion of this evaluation is for the sole purpose of applying for compliance funding and does not take the place of future provider assessments that DDS may require to determine provider compliance with the HCBS settings rules. Only providers requesting compliance funding need to complete this evaluation. Federal Requirements #1-5 apply to providers of all services, including residential and non-residential settings. Federal Requirements #6-10 are additional requirements that apply only to provider-owned or controlled residential settings. The column labeled “Guidance” contain a series of questions intended to help identify compliance or non-compliance with each requirement as it relates to the HCBS rules. While responses to these questions can help in the determination of whether or not a particular requirement is met, these responses may not be the sole factor in this determination. More information on the HCBS rules and this form can be found at: . Questions may be directed to HCBSregs@dds.ca.gov. Date(s) of Evaluation: Completed by: Vendor Name, address, contact: Service Type and Code: Federal Requirement #1: The setting is integrated in and supports full access of individuals receiving Medicaid HCB Services to the greater community, including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving Medicaid HCB Services. Guidance: Do individuals have options for community integration and utilization of community services in lieu of onsite services? Are individuals able to regularly access the greater community and are they able to describe how they access the community, who assists in facilitating the activity, and where he or she goes? Do individuals get support to access the community?
enclosureB.docx