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HCBS Community Setting Requirements
Federal Centers for Medicare & Medicaid Services (CMS) emphasizes that HCBS provider settings must be integrated into and support full engagement within the broader community. The intent of the HCBS setting requirements is to promote independence, engagement, and inclusion. All SLP setting practices must reflect these principles. Federal CMS requires that HCBS provider settings be fully integrated with the broader community and facilitate meaningful interaction, participation, and choice for residents. Community settings are required under eCFR: 42 CFR 441.301 -- Contents of request for a waiver.
The department previously provided guidance and training on the CMS HCBS setting requirements below.
- Provider Notice issued 12/31/15 (html)
- PowerPoint Presentation (pdf)
- Illinois Final Statewide Transition Plan (pdf)
Examples of SLP compliance to HCBS Community Setting Rules requiring individuals the right to manage/control their own income and resources, choose a representative payee of their choice, and use their PNA as they wish:
- Resident Right to Control Own Income and Resources- flyer (png)
- Residents Right to Control Own Income and Resources- brochure handout (pdf)
- Resident Right to Control Own Income and Resources -tri-fold brochure (pdf)
- Staff- Training/Acknowledgment Document (pdf)
- Resident Acknowledgment Document (pdf)
- Updated ISP Template/Example (pdf)
- Updated ISS Template/Example (pdf)
- Resident Right to Control Own Income, Resources, and PNA- Policy (pdf)
- SLP Staff Handout (pdf)
Examples of SLP compliance to HCBS Community Setting Rules requiring individuals the right to pursue employment/volunteer and work in competitive integrated settings:
- Updated ISP- Interested- Example/Template (pdf)
- List of Potential Questions for ISP Update (pdf)
- Updated ISP – Not Interested- Example/Template (pdf)
- Resident Right to Work/Volunteer-Bulletin Board Policy (pdf)
- Resident Right to Work/Volunteer-Referral Process and Policy (pdf)
- SLP Staff Handout (pdf)