Tahanan Mga Serbisyo Mga Alternatibo sa Pangmatagalang Pangangalaga (Mga Opsyon sa Serbisyo sa Bahay at Komunidad) Plano ng Paglipat sa Buong Estado ng HCBS

Plan ng Transisyon sa Buong Estado ng 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.

Nakipagtulungan ang DHCS sa mga kasosyong ahensya, kabilang ang Department of Developmental Services (DDS), ang California Department of Aging (CDA), ang California Department of Public Health (CDPH), California Department of Social Services (CDSS), Stakeholders, at iba pang entity upang bumuo ng binagong STP at mga kalakip. Ang DHCS ay nakatuon sa pakikipagtulungan sa mga kasosyong ahensya at stakeholder sa buong panahon ng paglipat.

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
Attachment I Draft Community-Based Adult Services (CBAS) Home and Community-Based (HCB) Settings Transition Plan
Attachment II DHCS Residential On-Site Assessment Tool
Attachment III MSSP Adult ADC On-site Day Center (ADC) On-site Assessment Tool
Attachment IV MSSP Congregate Meal On-site Assessment Tool
Attachment V DDS Non-residential Virtual Site Assessment Tool
Attachment VI DDS Residential Virtual Site Assessment Tool
Attachment VII MSSP Adult ADC On-site Day Center (ADC) Self-Assessment Instructions and Tool
Attachment VIII MSSP Congregate Meal Self-Assessment Mga Tagubilin at Tool
Attachment IX Mga Tagubilin at Tool sa Pagsusuri sa Sarili ng Site ng MSSP
Attachment X Mga Alituntunin sa Mga Kasunduan sa Pagpapaupa ng Residential
Attachment XI Setting Proseso ng Pagtatasa
Attachment XII STP Timeline at 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

Plano ng Pagwawasto ng Aksyon

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:

Pagtiyak na ang mga indibidwal ay may ganap na access sa mas malawak na komunidad.
Pagtiyak na ang mga indibidwal ay may mga pagkakataon para sa trabaho.
Pagtiyak na ang mga indibidwal ay may opsyon para sa isang pribadong silid at/o pagpili ng kasama sa silid.
Pagtitiyak na ang mga indibidwal ay may pagpipilian ng mga setting na hindi partikular sa kapansanan.

Mga Packet ng Mga Setting ng Pinahusay na Pagsusuri ng California DHCS

Ang California Department of Health Care Services (DHCS) ay nag-post ng mga sumusunod na HCBS Settings Final Rule na mga dokumento para sa pampublikong komento:

Heightened Scrutiny summary sheets para sa mga pasilidad na maaaring magkaroon ng nakakahiwalay na epekto para sa mga residente.
Ang panahon ng pampublikong komento ay mula Hulyo 29, 2022 hanggang Agosto 28, 2022

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

Mga Panahon ng Pampublikong Komento

Nagsagawa ang DHCS ng mga panahon ng pampublikong komento para sa feedback ng stakeholder sa STP at On-Site Assessment at Provider Self-Survey Tools:

Panahon ng Pangwakas na Pagkomento sa STP Oktubre 14, 2022 hanggang Nobyembre 13, 2022
Mas Mahigpit na Pagsisiyasat Pagtatakda ng Panahon ng Komento Hulyo 29, 2022 hanggang Agosto 8, 2022
Pambuong-Estado na Kumperensya Tawag, Setyembre 27, 2016
Panahon ng Komento sa Draft STP, Agosto 29, 2016, hanggang Setyembre 29, 2016
Pangwakas na STP, Pagtatasa sa Lokasyon, at Mga Kasangkapan sa Sariling Pagsusuri ng Tagapagbigay Kumperensya Tawag ng mga Stakeholder, Agosto 20, 2015
Draft STP, Pagtatasa sa Lokasyon, at Mga Kasangkapan sa Sariling Pagsusuri ng Tagapagbigay Kumperensya Tawag ng mga Stakeholder, Hulyo 13, 2015
Panahon ng Pampublikong Komento ng Draft STP, Hulyo 2, 2015, hanggang Hulyo 31, 2015
Pagtatasa sa Lokasyon at Tagapagbigay Mga Kagamitan sa Sariling Pagsusuri Panahon ng Pampublikong Komento, Mayo 22, 2015, hanggang Hunyo 30, 2015
Tawag sa Kumperensya ng mga Stakeholder, Disyembre 2, 2014
Panahon ng Pampublikong Komento ng Draft STP Nobyembre 7, 2014, hanggang Disyembre 8, 2014
Tawag sa Kumperensya ng mga Stakeholder, Oktubre 21, 2014
Panahon ng Pampublikong Komento ng Draft STP Setyembre 19, 2014, hanggang Oktubre 20, 2014

Mga Karagdagang Link

Panuntunan sa Mga Setting ng HCB:

Pagsasanay sa HCBS*

Pagtatakda ng Panghuling Panuntunan sa Webinar ng Pagsasanay ng HCBS
Notification sa Pagsasanay (Q & A Registration)
HCBS Final Rules Live Q&A – Transcript
Pagkamit ng Pagsunod sa Panghuling Panuntunan ng Mga Setting ng HCBS
Mga Pagsasanay sa Remediation Work Plan -Mga Diskarte para sa Pagsunod
HCBS Final Rule at Person Centered Planning
Mga Ahensya ng Koordinasyon ng Pangangalaga- Pagsasanay sa Plano ng Serbisyo – Pagwawaksi ng Tulong sa Pamumuhay
Pagsasanay sa ISP Provider – Assisted Living Waiver

*Ang mga pagsasanay na ito ay hindi tugma sa Microsoft Explorer. Mangyaring ilunsad ang pagsasanay sa Google Chrome o Firefox.

Para sa karagdagang impormasyon tungkol sa mga bagong kinakailangan sa pagtatakda ng Federal HCBS, pakibisita ang:

Website ng Medicaid.gov Home and Community-Based Services

If you have additional questions or comments regarding the Statewide Transition Plan, please email STP@dhcs.ca.gov

Plan ng Transisyon sa Buong Estado ng HCBS​​

Plano ng Pagwawasto ng Aksyon​​

Mga Packet ng Mga Setting ng Pinahusay na Pagsusuri ng California DHCS​​

Mga Panahon ng Pampublikong Komento​​

Archive​​

Mga Karagdagang Link​​

Panuntunan sa Mga Setting ng HCB:​​

Pagsasanay sa HCBS*​​