Ongoing Monitoring

In addition to the initial assessment activities described above, the State must also ensure its HCBS sites’ ongoing compliance with the federal HCBS rule. To accomplish this ongoing monitoring, the State will incorporate into its regular assessment and monitoring visits the on-site assessment tool that is currently being used to evaluate the 421 sample and Category 3 and 4 sites. The agencies that already complete the regular assessments will add the on-site assessment tool to their current process. These data will be reviewed on a regular basis to ensure 100% continued compliance.