Home and Community-Based Services (HCBS )are long-term services & supports provided in home and community-based settings, as recognized under the federal Medicaid (Medi-Cal) Program. These services can be a combination of standard medical services and non-medical services. Standard services can include, but are not limited to: case management (i.e. supports and service coordination), homemaker, home health aide, personal care, adult day health services, habilitation (both day and residential), and respite care. States can also propose “other” types of services that may assist in diverting and/or transitioning individuals from institutional settings into their homes and community.
This Fall, DDS will begin formally assessing identified vendors for compliance with the CMS Final Rule, through a combination of vendor self-surveys as well as onsite visits. Any setting that has the effect of isolating clients from the broader community (limited opportunities for interaction with the broader community, restriction of choice of activities outside of the setting, physically located apart from the broader community, etc.) will be presumed to have the qualities of an institution.
The California Department of Health Care Services (DHCS) has been working with partner agencies, including the Department of Developmental Services (DDS), the California Department of Aging (CDA), the California Department of Public Health (CDPH), other entities, and public and stakeholder input to develop a multi-year Statewide Transition Plan (STP) to bring California into compliance with new rules. This plan has to be approved by CMS.