HCBS 全州过渡计划
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 与合作机构合作，包括发展服务部 (DDS)、加州老龄化部门 (CDA)、加州公共卫生部 (CDPH)、加州社会服务部 (CDSS)、利益相关者和其他实体，制定了修订的 STP 和附件。 DHCS 致力于在整个过渡时期与合作机构和利益相关者合作。
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
附件 I 社区成人服务 (CBAS) 家庭和社区 (HCB) 环境过渡计划草案
附件二 DHCS 住宅现场评估工具
附件三 MSSP 成人 ADC 现场日间中心 (ADC) 现场评估工具
附件 IV MSSP 集中用餐现场评估工具
附件 V DDS 非住宅虚拟场地评估工具
附件 VI DDS 住宅虚拟场地评估工具
附件 VII MSSP 成人 ADC 现场日间中心 (ADC) 自我评估说明和工具
附件 VIII MSSP 聚餐自我评估说明和工具
附件 IX MSSP 站点自我评估说明和工具
附件 X 住宅租赁协议指南
附件 XI 设置评估流程
附件十二 STP 时间表和里程碑
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
纠正行动计划
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:
- 确保个人能够充分参与更广泛的社区。
- 确保个人有就业机会。
- 确保个人可以选择私人房间和/或室友。
- 确保个人可以选择非残疾特定的环境。
加州 DHCS 加强审查设置包
加州卫生保健服务部 (DHCS) 已发布以下 HCBS 设置最终规则文件供公众评论：
- 对可能对居民产生隔离作用的设施进行加强审查摘要表。
- 公众意见征询期为 2017 年 7 月29 2022至 2017 年 8 月28 2022
Follow the link to view the Heightened Scrutiny Setting Packets and Leave Comments
公众评论期
DHCS 就 STP 和现场评估以及提供商自我调查工具征询了利益相关者的反馈意见：
最终版STP意见征询期：10月14 、 2022至11月13 、 2022
强化审查设定意见征询期：7月29 、 2022至8月8 、 2022
全州电话会议：9月27 、 2016
STP草案意见征询期：8月29 、 2016至9月29 、 2016
最终版STP、现场评估和提供者自评工具利益相关者电话会议：8月20 、 2015
STP草案、现场评估和提供者自评工具利益相关者电话会议：7月13 、 2015
STP草案公众意见征询期：7月2 、 2015至7月31 、 2015
现场评估和提供者自评工具自评工具公众评议期：5月22 、 2015至6月30 、 2015
利益相关者电话会议：12月2 、 2014
STP草案公众评议期：11月7 、 2014至12月8 、 2014
利益相关者电话会议：10月21 、 2014
STP草案公众评议期：9月19 、 2014至10月20 、 2014 。
档案
Initial Approval of California’s Statewide Transition Plan, February 23, 2018
修订后的加州全州过渡计划，5 月14 、 2021
附件 I 社区成人服务 (CBAS) 家庭和社区 (HCB) 环境过渡计划草案
附件 IX MSSP 站点自我评估说明和工具
附录 I - CBAS 居家和社区服务（HCB）机构过渡计划修订草案
附录六 - 设置评估程序
附录七 - 全州过渡计划里程碑和时间表
加州全州过渡计划草案（11 月23,2016
草案（8 月29,2016 ）HCBS 全州过渡计划
加利福尼亚州全州过渡计划，8 月14 、2015
全州 HCBS 过渡计划草案（2015 年 7 月 1 日
草案（12 月19,2014 ）HCBS 全州过渡计划
STP 现场评估工具草案 - 居住区
STP 现场评估工具草案 - 非住宿型
幼兒看護人自我調查工具草案 - 住宿服務
幼兒看護人自我調查工具草案 - 非住宿服務
更多链接
- 发展服务部：HCBS 法规
- 老龄化部门：HCB 设置利益相关者活动
- HCBS 最佳实践常见问题解答
- Home-and-Community-Based-Services-(HCBS)–Grievance-and-Hearings
HCB设置规则：
HCBS 培训*
- HCBS 制定最终规则培训网络研讨会
- 培训通知（问答报名）
- HCBS Final Rules Live Q&A – Transcript
- 实现 HCBS 设置最终规则合规性
- 整改工作计划培训 - 合规策略
- HCBS 最终规则和以人为本的规划
- 护理协调机构 - 服务计划培训 - 辅助生活豁免
- ISP 提供商培训 – 辅助生活豁免
*这些培训与 Microsoft Explorer 不兼容。 请在 Google Chrome 或 Firefox 中启动培训。
有关新的联邦 HCBS 设置要求的更多信息，请访问：
If you have additional questions or comments regarding the Statewide Transition Plan, please email STP@dhcs.ca.gov