Implementation of the HCBS
Settings Rule: Resources for
Advocates
Rachel Patterson
Association of University Centers on
Di...
What Counts as a
Home or Community-
Based Setting?
HCBS Rule: The Key Points
1. Setting is integrated in the community
2. People have self-determination
3. Additional protec...
HCBS Rule: Other provisions
• Improved Enforcement of waiver provisions
• Caregiver assessment in 1915(i)
• Heightened scr...
Key Dates
• Published: January 16, 2014
• Effective: March 17, 2014
• Transition Plans Due: March 17, 2015
Unless states s...
HCBS Rule: Transition Plan
• 2 public notices
• 30 day public comment period on full
transition plan
• Modify the plan in ...
Transition Plans: What we’ve seen so far
• Strict timelines
• Assessment plans and Plans to write a Transition
Plan
• Lack...
Stakeholder Engagement
• Did the state post the full transition plan?
• Did the state modify the plan based on
comments?
•...
HCBSadvocacy.org
Tips for Advocates
• Learn About the Rule
• Spread the Word
• Get Involved
• Public Comment
• Stakeholder Committees
• Tow...
Tips for Advocates
• Work in coalition
• Olmstead coalitions or task forces
• Protection & Advocacy
• DD Council
• Univers...
Tips for Advocates
• Build on Existing Reform Work in the State
• Olmstead Settlements
• Medicaid reform
• 1115 waivers
• ...
NACDD: Making Sense of LTSS Policy. Rachel Patterson
NACDD: Making Sense of LTSS Policy. Rachel Patterson
NACDD: Making Sense of LTSS Policy. Rachel Patterson
NACDD: Making Sense of LTSS Policy. Rachel Patterson
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NACDD: Making Sense of LTSS Policy. Rachel Patterson

From NACDD's 2014 Annual Conference
Published on: Mar 3, 2016
Published in: Government & Nonprofit      
Source: www.slideshare.net


Transcripts - NACDD: Making Sense of LTSS Policy. Rachel Patterson

  • 1. Implementation of the HCBS Settings Rule: Resources for Advocates Rachel Patterson Association of University Centers on Disabilities July 8, 2014
  • 2. What Counts as a Home or Community- Based Setting?
  • 3. HCBS Rule: The Key Points 1. Setting is integrated in the community 2. People have self-determination 3. Additional protections for provider-owned 4. Everyone has a Person-Centered Plan 5. Some settings presumed not HCBS
  • 4. HCBS Rule: Other provisions • Improved Enforcement of waiver provisions • Caregiver assessment in 1915(i) • Heightened scrutiny for settings that isolate • Documentation of compliance in person- centered plan • What about non-residential services?
  • 5. Key Dates • Published: January 16, 2014 • Effective: March 17, 2014 • Transition Plans Due: March 17, 2015 Unless states submit a waiver renewal or amendment before March 17, 2015, then: • States must submit a Transition Plan for the services in that waiver with the submission • 120 days later submit a Transition Plan for their remaining HCBS system
  • 6. HCBS Rule: Transition Plan • 2 public notices • 30 day public comment period on full transition plan • Modify the plan in response to comments • Save comments and submit summary to CMS • Plan can be up to 5 years in length
  • 7. Transition Plans: What we’ve seen so far • Strict timelines • Assessment plans and Plans to write a Transition Plan • Lack of detail Stakeholder Engagement: This is where you come in!
  • 8. Stakeholder Engagement • Did the state post the full transition plan? • Did the state modify the plan based on comments? • Are the comments publically available? Tools on HCBSadvocacy.org
  • 9. HCBSadvocacy.org
  • 10. Tips for Advocates • Learn About the Rule • Spread the Word • Get Involved • Public Comment • Stakeholder Committees • Town halls • Advocate • Improved Stakeholder Engagement
  • 11. Tips for Advocates • Work in coalition • Olmstead coalitions or task forces • Protection & Advocacy • DD Council • University Centers • Area Agencies on Aging • Mental Health America or NAMI local • Centers for Independent Living • AARP local chapter
  • 12. Tips for Advocates • Build on Existing Reform Work in the State • Olmstead Settlements • Medicaid reform • 1115 waivers • Managed Care • Community First Choice Option • Balancing Incentive Program • 1915(i) HCBS State Plan Amendments  Leverage these and other opportunities for increased stakeholder engagement

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