ບ້ານ ການບໍລິການ ທາງເລືອກໃນການດູແລໄລຍະຍາວ (ທາງເລືອກໃນການບໍລິການຢູ່ເຮືອນ ແລະ ຊຸມຊົນ) ແຜນການປ່ຽນແປງທົ່ວລັດ HCBS

ແຜນການຫັນປ່ຽນທົ່ວລັດ HCBS

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 ໄດ້ເຮັດວຽກຮ່ວມກັບອົງການຄູ່ຮ່ວມງານ, ລວມທັງພະແນກການບໍລິການດ້ານການພັດທະນາ (DDS), ພະແນກຜູ້ສູງອາຍຸຂອງລັດຄາລິຟໍເນຍ (CDA), ພະແນກສາທາລະນະສຸກຂອງລັດຄາລິຟໍເນຍ (CDPH), ພະແນກບໍລິການສັງຄົມຂອງລັດຄາລິຟໍເນຍ (CDSS), ພາກສ່ວນກ່ຽວຂ້ອງ, ແລະຫນ່ວຍງານອື່ນໆ. ເພື່ອພັດທະນາ STP ສະບັບປັບປຸງ ແລະໄຟລ໌ແນບ. DHCS ມຸ່ງໝັ້ນທີ່ຈະເຮັດວຽກກັບອົງການຄູ່ຮ່ວມງານ ແລະຜູ້ມີສ່ວນຮ່ວມໃນຕະຫຼອດໄລຍະການປ່ຽນແປງ

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
ໄຟລ໌ແນບ I ຮ່າງການບໍລິການຜູ້ໃຫຍ່ທີ່ອີງໃສ່ຊຸມຊົນ (CBAS) ເຮືອນ ແລະ ຊຸມຊົນທີ່ອີງໃສ່ (HCB) ແຜນການປ່ຽນແປງ
ໄຟລ໌ແນບ II DHCS ເຄື່ອງມືການປະເມີນທີ່ຢູ່ອາໃສໃນເວັບໄຊ
ເອກະສານຄັດຕິດ III MSSP Adult ADC On-site Day Center (ADC) On-site Assessment Tool
ເອກະສານຄັດຕິດ IV MSSP Congregate Meal On-site Assessment Tool
ໄຟລ໌ແນບ V DDS ເຄື່ອງມືການປະເມີນເວັບໄຊ Virtual Non-residential
ໄຟລ໌ແນບ VI DDS ເຄື່ອງມືການປະເມີນສະຖານທີ່ Virtual Residential
ເອກະສານຄັດຕິດ VII MSSP Adult ADC On-site Day Center (ADC) ຄໍາແນະນໍາ ແລະເຄື່ອງມືການປະເມີນຕົນເອງ
ເອກະສານຄັດຕິດ VIII MSSP Congregate Meal ຄໍາແນະນໍາແລະເຄື່ອງມືການປະເມີນຕົນເອງ
ເອກະສານຄັດຕິດ IX MSSP Site ຄູ່ມືການປະເມີນຕົນເອງ ແລະເຄື່ອງມື
ເອກະສານຄັດຕິດ X ຂໍ້ຕົກລົງການໃຫ້ເຊົ່າທີ່ຢູ່ອາໄສ
ເອກະສານຄັດຕິດ XI ຂັ້ນຕອນການປະເມີນການຕັ້ງຄ່າ
ໄຟລ໌ແນບ XII STP ໄລຍະເວລາ ແລະຈຸດສໍາຄັນ
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

ແຜນປະຕິບັດງານແກ້ໄຂ

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:

ຮັບປະກັນໃຫ້ບຸກຄົນມີການເຂົ້າເຖິງຊຸມຊົນທີ່ກວ້າງຂວາງ.
ຮັບປະກັນໃຫ້ບຸກຄົນມີໂອກາດມີວຽກເຮັດງານທຳ.
ໃຫ້ແນ່ໃຈວ່າບຸກຄົນມີທາງເລືອກສໍາລັບຫ້ອງສ່ວນຕົວແລະ / ຫຼືທາງເລືອກຂອງເພື່ອນຮ່ວມຫ້ອງ.
ຮັບປະກັນໃຫ້ບຸກຄົນມີທາງເລືອກຂອງການຕັ້ງຄ່າສະເພາະທີ່ບໍ່ພິການ.

ແພັກເກັດການຕັ້ງຄ່າການກວດສອບສູງຂອງລັດຄາລິຟໍເນຍ DHCS

ພະແນກບໍລິການການດູແລສຸຂະພາບຂອງລັດຄາລິຟໍເນຍ (DHCS) ໄດ້ເຜີຍແຜ່ເອກະສານກົດລະບຽບສຸດທ້າຍຂອງການຕັ້ງຄ່າ HCBS ຕໍ່ໄປນີ້ເພື່ອສະແດງຄວາມຄິດເຫັນຂອງປະຊາຊົນ:

ເອກະສານສະຫຼຸບການກວດກາທີ່ເພີ່ມຂຶ້ນສໍາລັບສິ່ງອໍານວຍຄວາມສະດວກທີ່ອາດຈະມີຜົນກະທົບໂດດດ່ຽວສໍາລັບຜູ້ທີ່ຢູ່ອາໄສ
ໄລຍະເວລາການສະແດງຄວາມຄິດເຫັນສາທາລະນະຈະຕັ້ງແຕ່ເດືອນກໍລະກົດ 29, 2022 ຫາເດືອນສິງຫາ 28, 2022

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

ໄລຍະເວລາຄໍາເຫັນສາທາລະນະ

DHCS ໄດ້ດໍາເນີນໄລຍະເວລາສະແດງຄວາມຄິດເຫັນຂອງສາທາລະນະສໍາລັບຄໍາຄິດເຫັນຂອງຜູ້ມີສ່ວນກ່ຽວຂ້ອງກ່ຽວກັບ STP ແລະເຄື່ອງມືການສໍາຫຼວດຕົນເອງຂອງຜູ້ໃຫ້ບໍລິການ:

ໄລຍະເວລາຄຳເຫັນ STP ສຸດທ້າຍ ຕຸລາ 14, 2022 ຫາ ພະຈິກ 13, 2022
ໄລຍະເວລາການກຳນົດຄຳເຫັນ ການກວດສອບທີ່ເຂັ້ມງວດ ກໍລະກົດ 29, 2022 ຫາ ສິງຫາ 8, 2022
ກອງປະຊຸມທາງໂທລະສັບທົ່ວລັດ, ກັນຍາ 27, 2016
ໄລຍະເວລາຄຳເຫັນ STP ຮ່າງ, ສິງຫາ 29, 2016, ຫາ ກັນຍາ 29, 2016
ກອງປະຊຸມທາງໂທລະສັບ STP ສຸດທ້າຍ, ການປະເມີນຢູ່ໃນສະຖານທີ່, ແລະ ເຄື່ອງມືການສຳຫຼວດຕົນເອງຂອງຜູ້ໃຫ້ບໍລິການ, ກອງປະຊຸມທາງໂທລະສັບຜູ້ມີສ່ວນຮ່ວມ, ສິງຫາ 20, 2015
ກອງປະຊຸມທາງໂທລະສັບ STP ຮ່າງ, ການປະເມີນໃນສະຖານທີ່, ແລະ ເຄື່ອງມືການສຳຫຼວດຕົນເອງຂອງຜູ້ໃຫ້ບໍລິການ, ກອງປະຊຸມທາງໂທລະສັບຜູ້ມີສ່ວນຮ່ວມ, ກໍລະກົດ 13, 2015
ໄລຍະເວລາຄຳເຫັນສາທາລະນະຂອງ STP ຮ່າງ, ກໍລະກົດ 2, 2015, ຫາ ກໍລະກົດ 31, 2015
ການປະເມີນຜົນໃນສະຖານທີ່ ແລະ ເຄື່ອງມືການສຳຫຼວດຕົນເອງຂອງຜູ້ໃຫ້ບໍລິການ ຄຳເຫັນສາທາລະນະ ໄລຍະເວລາ, ພຶດສະພາ 22, 2015, ຮອດເດືອນມິຖຸນາ 30, 2015
ກອງປະຊຸມທາງໂທລະສັບຂອງຜູ້ມີສ່ວນຮ່ວມ, ທັນວາ 2, 2014
ຮ່າງ STP ໄລຍະເວລາຄຳເຫັນສາທາລະນະ ພະຈິກ 7, 2014, ຮອດເດືອນທັນວາ 8, 2014
ກອງປະຊຸມທາງໂທລະສັບຂອງຜູ້ມີສ່ວນຮ່ວມ, ຕຸລາ 21, 2014
ຮ່າງ STP ໄລຍະເວລາຄຳເຫັນສາທາລະນະ ກັນຍາ 19, 2014, ຮອດເດືອນຕຸລາ 20, 2014