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

The California Department of Health Care Services (DHCS) submitted the revised Statewide Transition Plan (STP) to the Centers for Medicare & Medicaid Services (CMS) on November 23, 2016. The STP describes how the State will come into compliance with new Federal Home and Community-Based (HCB) Settings Final Rule that became effective March 17, 2014. These regulations are CMS 2249-F and CMS 2296-F, which affect 1115, 1915(c), 1915(i) and 1915(k) Home and Community-Based Services (HCBS) waivers and State Plan programs. All 115, 1915(c), 1915(i) and 1915(k) HCBS waivers and State Plan programs must be in full compliance with the new federal rules by the new extended date of March 17, 2023. CMS issued guidance to states on July 14, 2020, indicating that the transition period for ensuring compliance with the HCBS Final Rule was extended in response to the COVID-19 pandemic. See the Federal Policy Guidance.

DHCS tau ua haujlwm nrog cov koom haum koom tes, suav nrog Department of Developmental Services (DDS), California Department of Aging (CDA), California Department of Public Health (CDPH), California Department of Social Services (CDSS), Stakeholders, thiab lwm lub koom haum. los tsim kho STP thiab cov ntawv txuas ntxiv. DHCS tau cog lus ua haujlwm nrog cov koom haum koom tes thiab cov neeg muaj feem cuam tshuam thoob plaws lub sijhawm hloov pauv

Below is California’s revised Statewide Transition Plan (STP) that describes the State’s current efforts and proposed actions to ensure Home and Community-Based Service (HCB) providers achieve compliance with the federal HCB settings rule. CMS granted initial approval of California’s STP on February 23, 2018.

As required under the American Recovery and Reinvestment Act of 2009 (ARRA), DHCS seeks advice from designees of Indian Health Programs, and Urban Indian Organizations on Medi-Cal matters having a direct effect on Indians, Indian Health Programs, or Urban Indian Organizations. The STP was submitted for tribal review on October 7, 2022. The public comment period will be held October 14, 2022 through November 13, 2022, with the intention of submitting the STP to CMS for final approval following the notice period. For more information on the CBAS STP, please visit the CBAS STP landing page.

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.

Final Approval of California’s Statewide Transition Plan, June 30, 2023
Statewide Transition Plan for Compliance with Home and Community Based Settings Rules – June 2023
Daim ntawv txuas I Draft Community-Based Adult Services (CBAS) Home and Community-Based (HCB) Settings Transition Plan
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
Attachment XIII – STP On-Site Assessment Tool – Residential
Attachment XIV – STP On-Site Assessment Tool – Non-Residential
Attachment XV – STP Provider Self-Survey Tool – Residential
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

Follow the link to view the Heightened Scrutiny Setting Packets and Leave Comments

Public Comment Sijhawm

DHCS tau ua lub sijhawm tawm tswv yim rau pej xeem rau cov tswv yim tawm tswv yim ntawm STP thiab On-Site Assessment and Provider Self-Survey Tools:

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