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Get the free Hcbs Final Rule – Heightened Scrutiny Checklist

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This checklist is intended for agencies wishing to undergo the Heightened Scrutiny Review Process as per the HCBS Final Rule. It outlines compliance areas for Medicaid waiver funds and necessary documentation for participant engagement and choice in adult day settings.
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How to fill out hcbs final rule heightened

01
Review the HCBS Final Rule requirements to understand the criteria for heightened scrutiny.
02
Gather documentation that supports the integration of individuals receiving HCBS services into the community.
03
Identify settings that may require heightened scrutiny based on potential institutional qualities.
04
Complete the required assessment forms, ensuring all necessary information is included.
05
Submit the completed assessments and documentation to the relevant state authority for review.
06
Follow up with the state agency for any additional information or clarifications they may need.
07
Await determination and be prepared to make necessary adjustments based on feedback.

Who needs hcbs final rule heightened?

01
Individuals receiving Home and Community-Based Services (HCBS) who are in settings that may not meet the HCBS Final Rule criteria.
02
Providers who operate settings that may require heightened scrutiny to ensure compliance with the HCBS Final Rule.
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The HCBS Final Rule Heightened refers to enhanced requirements established by the Centers for Medicare & Medicaid Services (CMS) to ensure that Home and Community-Based Services (HCBS) provide services in a manner that is respectful of the individual's own home and community. It aims to ensure that individuals receiving HCBS are fully integrated into their communities.
States that receive Medicaid funding for Home and Community-Based Services are required to comply with the HCBS Final Rule Heightened requirements. This includes state Medicaid agencies and providers that deliver HCBS.
To fill out documentation related to the HCBS Final Rule Heightened, entities must assess their services against the rule's criteria, gather necessary data regarding service delivery, and demonstrate how they ensure compliance with person-centered planning and integration in the community.
The purpose of the HCBS Final Rule Heightened is to promote the dignity of individuals with disabilities or chronic conditions by ensuring that they have access to services that are consistent with their preferences, needs, and circumstances, and to enhance their ability to live, work, and participate in their communities.
Information that must be reported includes evidence of compliance with individual rights, integration into the community, choice of services and providers, person-centered planning processes, and the effectiveness of service delivery in meeting the needs of individuals.
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