Tsev Cov Kev Pabcuam Cov Kev Xaiv Rau Kev Saib Xyuas Mus Ntev (Kev Xaiv Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog) Txoj Kev Npaj Hloov Pauv Thoob Plaws Lub Xeev HCBS

HCBS Statewide Transition Plan

Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm California (DHCS) tau xa daim phiaj xwm hloov pauv thoob plaws lub xeev (STP) mus rau Lub Chaw Pabcuam Medicare & Medicaid (CMS) thaum Lub Kaum Ib Hlis 23, 2016. Daim STP piav qhia txog yuav ua li cas Lub Xeev yuav ua raws li Txoj Cai Kawg ntawm Tsoom Fwv Teb Chaws Tshiab rau Tsev thiab Zej Zog (HCB) uas tau pib siv tau rau lub Peb Hlis Ntuj hnub tim 17, 2014. Cov cai no yog CMS 2249-F thiab CMS 2296-F, uas cuam tshuam rau 1115, 1915 (c), 1915 (i) thiab 1915 (k) Cov Kev Pabcuam Hauv Tsev thiab Hauv Zej Zog (HCBS) kev zam thiab cov kev pabcuam ntawm Lub Xeev. Txhua qhov kev zam 115, 1915 (c), 1915 (i) thiab 1915 (k) HCBS thiab cov kev pab cuam ntawm Lub Xeev yuav tsum ua raws li cov cai tshiab ntawm tsoomfwv los ntawm hnub tshiab ntawm lub Peb Hlis 17, 2023. CMS tau tshaj tawm cov lus qhia rau cov xeev thaum Lub Xya Hli 14, 2020, qhia tias lub sijhawm hloov pauv rau kev ua raws li Txoj Cai Kawg HCBS tau txuas ntxiv mus teb rau tus kab mob COVID-19. Saib Cov Lus Qhia Txog Txoj Cai ntawm Tsoom Fwv Tebchaws.

DHCS tau ua haujlwm nrog cov koom haum koom tes, suav nrog Lub Tsev Haujlwm Saib Xyuas Kev Loj Hlob (DDS), Lub Tsev Haujlwm Saib Xyuas Kev Laus ntawm California (CDA), Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm California (CDPH), Lub Tsev Haujlwm Saib Xyuas Kev Pabcuam Zej Zog ntawm California (CDSS), Cov Neeg Muaj Feem, thiab lwm lub koom haum los tsim cov STP thiab cov ntaub ntawv txuas ntxiv uas tau hloov kho tshiab. DHCS cog lus tias yuav ua haujlwm nrog cov koom haum koom tes thiab cov neeg koom tes thoob plaws lub sijhawm hloov pauv.

Hauv qab no yog California txoj Kev Npaj Hloov Pauv Thoob Plaws Lub Xeev (STP) uas tau hloov kho dua tshiab uas piav qhia txog Lub Xeev cov kev siv zog tam sim no thiab cov haujlwm uas tau npaj tseg los xyuas kom meej tias cov neeg muab kev pabcuam hauv tsev thiab hauv zej zog (HCB) ua tiav raws li txoj cai teeb tsa HCB hauv tsoomfwv. CMS tau tso cai thawj zaug rau California's STP rau lub Ob Hlis 23, 2018.

Raws li qhov yuav tsum tau ua nyob rau hauv American Recovery and Reinvestment Act of 2009 (ARRA), DHCS nrhiav kev qhia los ntawm cov neeg xaiv tsa ntawm Indian Health Programs, thiab Urban Indian Organizations txog Medi-Cal cov teeb meem uas muaj kev cuam tshuam ncaj qha rau Indians, Indian Health Programs, lossis Urban Indian Organizations. Daim STP tau xa mus rau kev tshuaj xyuas ntawm pawg neeg thaum Lub Kaum Hli Ntuj hnub tim 7, 2022. Lub sijhawm rau pej xeem tawm tswv yim yuav muaj nyob rau lub Kaum Hli 14, 2022 txog rau lub Kaum Ib Hlis 13, 2022, nrog lub hom phiaj xa daim ntawv STP mus rau CMS kom tau kev pom zoo zaum kawg tom qab lub sijhawm ceeb toom. Yog xav paub ntxiv txog CBAS STP, thov mus saib nplooj ntawv CBAS STP.

On June 30, 2023, DHCS received final approval from CMS on the STP to bring settings into compliance with federal HCBS Setting Final rule regulations. Final approval was granted after DHCS, in partnership with DDS and CDA, conducted a comprehensive site-specific assessment and validation of all settings serving individuals receiving Medicaid-funded HCBS, included in the STP the outcomes of these activities, and proposed remediation strategies to rectify any uncovered issues; outlined a detailed plan for identifying settings that are presumed to have institutional characteristics, including qualities that isolate HCBS clients, as well as the proposed process for evaluating the settings and preparing for submission to CMS for review under heightened scrutiny; developed a process for communicating with members who are currently receiving services in settings the state has determined cannot or will not come into compliance with the HCBS settings criteria; and established ongoing monitoring and quality assurance processes to ensure all settings providing HCBS continue to remain fully compliant with the HCBS Settings Final rule in the future. DHCS will work collaboratively with CMS to identify any areas that may need strengthening with respect to the state’s remediation and heightened scrutiny processes as the state implements each of the key elements of the STP.

Kev Pom Zoo Zaum Kawg ntawm California Txoj Kev Npaj Hloov Pauv Thoob Plaws Lub Xeev, Lub Rau Hli 30, 2023
Txoj Kev Npaj Hloov Pauv Thoob Plaws Lub Xeev rau Kev Ua Raws Li Txoj Cai Tswjfwm Hauv Tsev thiab Hauv Zej Zog - Lub Rau Hli 2023
Cov Ntaub Ntawv Txuas I Daim Ntawv Qhia Txog Kev Hloov Chaw Hauv Tsev thiab Kev Pabcuam Rau Cov Neeg Laus Hauv Zej Zog (CBAS)
Daim ntawv txuas II DHCS Cov Kev Ntsuas Qhov Chaw Nyob Hauv Chaw
Daim ntawv txuas III MSSP Adult ADC On-site Day Center (ADC) On-site Assessment Tool
Daim ntawv txuas IV MSSP Cuam Tshuam Noj Zaub Mov Hauv Tsev Kawm Ntawv
Daim ntawv txuas V DDS Tsis yog-chav nyob hauv Virtual Site Assessment Tool
Daim ntawv txuas VI DDS Residential Virtual Site Assessment Tool
Daim ntawv txuas VII MSSP Adult ADC On-site Day Center (ADC) Kev Ntsuas Tus Kheej Cov Lus Qhia thiab Cov Cuab Yeej
Daim ntawv txuas VIII MSSP Cov Lus Qhia Txog Kev Ntsuas Tus Kheej thiab Cov Cuab Yeej
Daim ntawv txuas IX MSSP Site Kev Ntsuas Tus Kheej Cov Lus Qhia thiab Cov Cuab Yeej
Daim ntawv txuas X Cov Lus Cog Tseg Kev Ruaj Kho Vaj Tse
Daim ntawv txuas XI Kev Ntsuas Kev Ntsuas
Daim ntawv txuas XII STP Sijhawm Sijhawm thiab Milestones
Cov Ntaub Ntawv Ntxiv XIII - STP Cov Cuab Yeej Soj Ntsuam Hauv Chaw - Tsev Nyob
Cov Ntaub Ntxiv XIV - STP Cov Cuab Yeej Soj Ntsuam Hauv Chaw - Tsis Yog Nyob Hauv Tsev
Cov Ntaub Ntawv Ntxiv XV - Cov Cuab Yeej Tshawb Fawb Tus Kheej ntawm Tus Muab Kev Pabcuam STP - Chaw Nyob
Attachment XVI – STP Provider Self-Survey Tool – Non-Residential

Kho Kev Npaj Ua Haujlwm

On November 30, 2022, the State submitted an STP Corrective Action Plan (CAP) to CMS to request additional time to implement specific provisions of the HCBS Final Rule past the transition deadline of March 17, 2023. CMS is allowing states to request additional time to come into full compliance with the Final Rule in recognition of the impact the COVID-19 public health emergency (PHE) has had on the direct care workforce. The State is requesting an extension through June 2024 to implement the following regulatory criteria:

Xyuas kom cov tib neeg muaj kev nkag mus rau hauv lub zej zog dav.
Ua kom cov tib neeg muaj lub cib fim rau kev ua haujlwm.
Xyuas kom cov tib neeg muaj kev xaiv rau chav tsev ntiag tug thiab / lossis kev xaiv ntawm tus khub hauv chav.
Xyuas kom cov tib neeg muaj kev xaiv ntawm cov chaw tshwj xeeb uas tsis muaj kev tsis taus.

California DHCS Heightened Scrutiny Settings Packets

California Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) tau tshaj tawm cov ntaub ntawv hauv qab no HCBS Cov Txheej Txheem Kawg rau kev tawm tswv yim rau pej xeem:

Heightened Scrutiny summary sheets rau cov chaw uas yuav muaj kev cuam tshuam rau cov neeg nyob.
Lub sijhawm tawm tswv yim rau pej xeem yuav yog thaum Lub Xya Hli 29, 2022 txog Lub Yim Hli 28, 2022

Ua raws li qhov txuas mus saib cov pob khoom teeb tsa kev tshuaj xyuas siab thiab tawm lus

Public Comment Sijhawm

DHCS tau ua lub sijhawm rau pej xeem tawm tswv yim rau cov neeg koom nrog cov lus taw qhia txog STP thiab Kev Ntsuam Xyuas Hauv Chaw thiab Cov Cuab Yeej Ntsuam Xyuas Tus Kheej ntawm Tus Muab Kev Pabcuam:

Lub Sijhawm Tawm Tswv Yim STP Kawg Lub Kaum Hli 14, 2022 txog Lub Kaum Ib Hlis 13, 2022
Kev Tshuaj Xyuas Ntau Ntxiv Lub Sijhawm Teeb Tsa Tawm Tswv Yim Lub Xya Hli 29, 2022 txog Lub Yim Hli 8, 2022
Kev Hu Xov Tooj Thoob Plaws Lub Xeev, Cuaj Hlis 27, 2016
Lub Sijhawm Tawm Tswv Yim STP Qauv, Yim Hli 29, 2016, txog Lub Cuaj Hlis 29, 2016
STP Kawg, Kev Ntsuam Xyuas Hauv Chaw, thiab Cov Cuab Yeej Tshawb Fawb Tus Kheej ntawm Tus Muab Kev Pabcuam Kev Hu Xov Tooj Rau Cov Neeg Muaj Feem Xyuam, Yim Hli 20, 2015
Daim Qauv STP, Kev Ntsuam Xyuas Hauv Chaw, thiab Cov Cuab Yeej Tshawb Fawb Tus Kheej ntawm Tus Muab Kev Pabcuam Kev Hu Xov Tooj Rau Cov Neeg Muaj Feem Xyuam, Xya Hli 13, 2015
Daim Qauv STP Lub Sijhawm Tawm Tswv Yim Rau Pej Xeem, Xya Hli 2, 2015, txog Lub Xya Hli 31, 2015
Kev Ntsuam Xyuas Hauv Chaw thiab Cov Cuab Yeej Tshawb Fawb Tus Kheej ntawm Tus Muab Kev Pabcuam Kev Tawm Tswv Yim Rau Pej Xeem Lub Sijhawm, Tsib Hlis 22, 2015, txog Rau Hli 30, 2015

2 2014Sau Ntawv STP Rau Cov Neeg Sawv Cev Lub Kaum Ib Hlis 7, 2014, txog Kaum Ob Hlis 8, 2014
Kev Hu Xov Tooj Rau Cov Neeg Muaj Feem, Kaum Hli 21, 2014
Lub Sijhawm Sau Ntawv STP Rau Cov Neeg Sawv Cev Lub Cuaj Hlis 19, 2014, txog Kaum Hli 20, 2014