Plans must also implement remediation and compliance procedures for the site to remain in the plan´s network and continue to receive HCBS funding.
Results from the SADC site self-assessments will need to be reviewed by the plan both in aggregate for monitoring and reporting to DOH and at an individual SADC site level.The self-assessments are designed to measure HCBS providers´ current level of compliance with the CMS HCBS Final Rule and provide a framework for assisting those providers with the necessary steps to compliance.Site Self-assessment Guiding Questions for MLTC Plan Assessors.Site Self-assessment Survey Tool with embedded instructions.This is determined through a heightened scrutiny process, based on information presented by the state and input from the public demonstrating that the site does, or through remediation will, meet the qualities for being home and community-based and does not have the qualities of an institution. Heightened Scrutiny: If an SADC site does NOT meet the requirements set forth in the HCBS Final Rule, CMS may still allow the program to provide Medicaid HCBS services.Remediation Plans: MLTC plans will be required to ensure that Social Adult Day Care (SADC) sites in their networks meet all applicable HCBS Final Rule requirements and implement remediation plans to assist non-complaint SADC sites.Person Centered Planning: As a key foundation of the HCBS Final Rule, all SADC service settings are required to establish and maintain a person-centered planning process, including the development and ongoing monitoring of a person-centered plan for each participant receiving services.The Final Rule requires verification that sites are compliant by March of 2023. HCBS Final Rule: The CMS Final Rule effective, March 17, 2014, is intended to maximize opportunities for participants in HCBS programs to have access to the benefits in the most community integrated settings.
Presentation also available in Portable Document Format (PDF).
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