Hom e and Com m unity Based Services (HCBS) W ebinar for On-Going - - PowerPoint PPT Presentation

hom e and com m unity based services hcbs
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Hom e and Com m unity Based Services (HCBS) W ebinar for On-Going - - PowerPoint PPT Presentation

Hom e and Com m unity Based Services (HCBS) W ebinar for On-Going Com pliance Overview HCBS Federal Rule On-Site Assessments in 2015/ 2016 Initial CMS Approval of Statewide Transitional Plan (STP) Additional Guidance March 2017 5 / 2 1 / 2


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Hom e and Com m unity Based Services (HCBS)

W ebinar for On-Going Com pliance

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Overview

HCBS Federal Rule On-Site Assessments in 2015/ 2016 Initial CMS Approval of Statewide Transitional Plan (STP) Additional Guidance March 2017

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Federal HCBS Rule

Effective March 17, 2014 (42 CFR 441.301) CMS Intent of the Final Rule “To ensure that individuals receiving services and supports through the Medicaid’s home and community based service (HCBS) programs have full access to benefits of community living and are able to receive services in the most integrated setting” “designed to improve the quality of services for individuals receiving HCBS” Requires states to submit a transition plan to ensure compliance of the final rule

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On-Site HCBS Assessments

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Self- Assessments

  • Provider
  • Waiver Participant

On-Site Assessments 2015/ 2016

  • Identified through Random Sample
  • Heightened Scrutiny Mapping
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HCBS Statewide Transition Plan (STP) Approval

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CMS Initial Approval of STP – March 2017

CMS Review of STP Remediation processes at the state and provider level. Assurance that CMS approves our proposed process

https:/ / dmh.mo.gov/ dd/ hcbs.html

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HCBS Guidance

Division sent further guidance through Provider Email Blast – March 2017

(https:/ / dmh.mo.gov/ dd/ docs/ hcbsguidance.pdf)

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On-Going Compliance

All HCBS requirements need to be addressed in provider system for on-going monitoring (L&C, PR, TCM TAC, QE) Guidance Review

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Website Links

CMS Guidance “House Rules” and Heightened Scrutiny Settings: https:/ / www.medicaid.gov/ medicaid/ hcbs/ downloads/ faq- planned-construction.pdf Department of Mental Health Office of Constituent Services: https:/ / dmh.mo.gov/ constituentservices/ Missouri Attorney General Landlord Tenant Law Brochure: https:/ / www.ago.mo.gov/ docs/ default- source/ publications/ landlord-tenantlaw.pdf?sfvrsn=4

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Thank You

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