首頁服務長期照護替代方案（居家與社區服務選項）HCBS 全州過渡計劃​​ 

HCBS 全州過渡計劃​​ 

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 與合作夥伴機構合作，包括發展服務部 (DDS)、加州老化部 (CDA)、加州公共衛生部 (CDPH)、加州社會服務部 (CDSS)、利害關係人和其他實體制定修訂後的STP和附件。 DHCS 致力於在整個過渡期間與合作夥伴機構和利害關係人合作。​​ 

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​​ 
附件一Community-Based Adult Services ( CBAS ) 家庭與社區 (HCB) 設定過渡計畫草案​​ 
附件 II DHCS 住宅現場評估工具​​ 
配件 III MSSP 成人 ADC 現場日間中心 (ADC) 現場評估工具​​ 
附件 IV MSSP 聚餐現場評估工具​​ 
附件 V DDS 非住宅虛擬用地評估工具​​ 
附件 VI DDS 住宅虛擬現場評估工具​​ 
附件 VII MSSP 成人 ADC 現場日間中心（ADC）自我評估說明和工具​​ 
附件 VIII MSSP 集體膳食自我評估說明與工具​​ 
附件九 MSSP 現場自我評估說明與工具​​ 
附件 X 住宅租賃協議指引​​ 
附件 XI 設定評估流程​​ 
附件 XII STP 時間表和里程碑​​ 
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​​ 

糾正行動計劃​​ 

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:​​ 

  • 確保個人可以完全訪問更廣泛的社區。​​ 
  • 確保個人有就業機會。​​ 
  • 確保個人可以選擇私人房間和/或室友選擇。​​ 
  • 確保個人可以選擇非殘疾特定的設置。​​  

加州 DHCS 加強審查設定資料包​​ 

加州Department of Health Care Services (DHCS) ) 已發布以下 HCBS 設定最終規則文件以徵求公眾意見：​​ 

  • 針對居民可能具有隔離效果的設施的加強審核摘要表。​​ 
  • 公眾意見期將從 7 月 29、2022 至 8 月 28, 2022​​ 

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

公開評論期間​​ 

DHCS 進行了公眾評議期，徵求利害關係人對 STP 和現場評估以及提供者自我調查工具的回饋：​​  

最終版STP意見徵詢期：10月14 、 2022至11月13 、 2022
強化審查設定意見徵詢期：7月29 、 2022至8月8 、 2022
全州電話會議：9月27 29 2016
STP 2016 2016 29
最終版STP、現場評估和提供者自評工具利益相關者電話會議：8月20 、 2015
STP草案、現場評估和提供者自評工具利益相關者電話會議：7月13 、 2015
STP草案至公眾意見徵詢期：7月2 、 2015月31 2015 。
現場評估及提供者自評工具自評工具公眾評議期：5月22 、 2015至6月30 、 2015
利害關係人電話會議：12月2 、 2014
STP
公眾評議期：11月8 21 7 2014 2014 2014
STP草案公眾評議期間：9月19 、 2014至10月20 、 2014 。​​ 

檔案​​ 

Initial Approval of California’s Statewide Transition Plan, February 23, 2018​​  

修訂後的加州全州過渡計劃， 14 、 2021 5 月​​ 
附件一Community-Based Adult Services ( CBAS ) 家庭與社區 (HCB) 設定過渡計畫草案​​ 
附件九 MSSP 現場自我評估說明與工具​​  

修訂後的加州全州過渡計劃，2018 年 1 月 11 日​​ 

附錄 I - CBAS 居家和社區為本（HCB）設施過渡計劃修訂草案
附錄六 - 設定評估程序
附錄七 - 全州過渡計劃里程碑和時間表
加州全州過渡計劃草案 (11 月23,2016)
草案（八月29,2016 ）HCBS 全州過渡計劃
加州全州過渡計劃，八月14 、2015
草案（2015 年 7 月 1 日） 全州 HCBS 過渡計劃
草案（12 月19,2014 ）HCBS 全州過渡計劃
STP 現場評估工具草案 - 住宿服務
STP 現場評估工具草案 - 非住宿服務
幼兒看護人自我調查工具草案 - 住宿
幼兒看護人自我調查工具草案 - 非住宿型​​ 

其他連結​​ 

HCB 設定規則：​​ 

高級健康健康培訓 *​​ 

* 這些培訓與微軟瀏覽器不兼容。 請在谷歌瀏覽器或 Firefox 中啟動培訓。​​  

有關新的聯邦 HCBS 設定要求的更多信息，請訪問：​​ 

MedicaID.gov 家居和社區服務網站​​ 

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