changesinddsystem-lakecountyboardofdd.pptVIP

CMS Rule Change and Future Systems Redesign Effective March 17, 2014, CMS Rule change became effective Identifies the characteristics of home and community based services (HCBS) settings Identifies settings that are not home and community based Outlines timelines for states to submit transition plans to the Centers for Medicare and Medicaid Services (CMS) to ensure compliance HCBS Characteristics Integrated in and supports full access to the greater community Selected by the individual among setting options including non-disability specific settings Ensures the rights of privacy, dignity and respect, and freedom of coercion/restraint Optimizes, but does not regiment, individual initiative, autonomy, and independence in life choices Facilitates choice in services and who provides them Settings not HCBS Nursing Facilities Institutions for mental disease Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IIDs) Hospitals Any other setting with the qualities of an institutional setting Institutional Qualities Located in a building that is also a publicly or privately operated facility that provides inpatient institutional treatment Located in a building on the grounds of or adjacent to a public institution Any other setting that has the effect of isolation individuals from the broader community UNLESS determined through heightened scrutiny that the setting does not have institutional qualities and does have home and community based qualities Coming into Compliance DODD priorities Making sure providers submit plans for compliance Visiting locations to see how providers are implementing compliance plans Working with individuals/providers to gather evidence to send to CMS for heightened scrutiny to show how settings do have home and community based characteristics Coming into Compliance Making sure county boards help individuals find new settings and/or providers if relocation from a day or residential setting is required Common Questions Do