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Home and Community-Based Programs Rule Change Overview

​​​​​​​​​​​​​​​​The Centers for Medicare and Medicaid Services (CMS) issued a Home and Community-Based Services (HCBS) final rule on January 16, 2014, which came into effect on March 17, 2014. The new rule applies to both residential and non-residential settings and changes the standards by which states are allowed to pay for HCBS. Highlights of the new rule include the following:
  1. Ensuring that individuals have been given choices regarding their setting options.
  2. Guaranteeing individuals’ rights of privacy, dignity, respect, and freedom from coercion and restraint.
  3. Optimizing autonomy and independence in making life choices
  4. Facilitating choice in services and those who provide it.

Updates

Community Settings Regulation Compliance -

Review of Senior Center Plus Sites and Determination: No Sites Submitted to CMS for Heightened Scrutiny Review 

The Maryland Department of Health has reviewed the  Senior Center Plus sites in the state and has found that currently all of the sites are community based and meet the criteria of the Community Settings regulations. The Maryland Department of Health invites public comment on the Senior Center Plus providers. A public comment period will be open from May 25, 2018 to June 25, 2018. Once the public comment period is complete, this information and the comments will be submitted to CMS for review. Please send all comments to mdh.hcbssetting@maryland.gov or Rebecca Oliver, Health Policy Analyst Advanced, Room 134, 201 W Preston St, Baltimore, MD 21201.
 

Community Settings Regulation Compliance-

List of Adult Medical Day Care Sites to be Submitted CMS for Heightened Scrutiny Review

The Maryland Department of Health has reviewed the Adult Medical Day Care sites for compliance with community settings regulations. The following Adult Medical Day Care sites have one or more characteristics requiring Heightened Scrutiny Review by CMS. The sites are listed below.
 
The Maryland Department of Health invites public comment on the list. A public comment period will be open from May 25, 2018 to June 25, 2018. Once the public comment period is complete, the list will be submitted to CMS for review. Please send all comments to Maryland Department of Health invites public comment on the list. A public comment period will be open from May 25, 2018 to June 25, 2018. Once the public comment period is complete, the list will be submitted to CMS for review. Please send all comments to mdh.hcbssetting@maryland.gov or Rebecca Oliver, Health Policy Analyst Advanced, Room 134, 201 W Preston St, Baltimore, MD 21201.
 
​Sites That are Subject to Heightened Scrutiny ​Address ​County ​COMAR citation
​Arc of Washington County MDCC ​838 Florida Ave ​Washington ​1915c: 441.301(c)(5)(v)
​Delmarva Daybreak Hurlock ​6210 Shiloh Church/Hurlock Rd ​Dorchester ​1915c: 441.301(c)(5)(v)
​Diakon ADS @ Ravenwood ​1109 Luther Dr ​Washington ​1915c: 441.301(c)(5)(v)
​Evergreen Medical Adult Day Svcs ​1 Baltimore st ​Allegany ​1915c: 441.301(c)(5)(v)
​Gallager Adult Medical Day ​2520 Pot Spring Rd. ​Baltimore Co ​1915c: 441.301(c)(5)(v)
​Helping Hands - Capitol Heights ​5400 Norfield Rd. ​Prince Georges ​1915c: 441.301(c)(5)(v)
​Human Development Council-Frederick ​5430 Mt. Zion Road ​Frederick ​1915c: 441.301(c)(5)(v)
​Joyful Adult Medical Day Care Ctr. ​6650 Belair Rd. ​Baltimore City ​1915c: 441.301(c)(5)(v)
​Keswick Adult Services ​700 W. 40th St ​Baltimore City ​1915c: 441.301(c)(5)(v)
​New Life AMDC ​7600 Clay's Lane, Ste. #C ​Baltimore Co ​1915c: 441.301(c)(5)(v)
​Sagepoint Adult Day Services ​10200 La Plata Road ​Charles ​1915c: 441.301(c)(5)(v)
​Stella Maris ADC Center ​2300 Dulaney Valley Road ​Baltimore Co ​1915c: 441.301(c)(5)(v)
​The League for People w Disabilities ​1111 East Cold Spring Lane ​Baltimore City ​1915c: 441.301(c)(5)(v)
​Washington HDC-ADC ​433 Brewer Ave ​Washington ​1915c: 441.301(c)(5)(v)
​We Care Adult Services ​1717 Largo Road ​Prince Georges ​1915c: 441.301(c)(5)(v)
​Winter Growth-Howard ​5460 Ruth Keeton Way ​Howard ​1915c: 441.301(c)(5)(v)
​Winter Growth-Montgomery ​18110 Prince Philip Drive ​Montgomery ​1915c: 441.301(c)(5)(v)
 
 

Additional Resources

The following links describe HCBS programs in more detail:
 
Links to informational webinars are below:
 
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NameUse SHIFT+ENTER to open the menu (new window).
  
ModifiedUse SHIFT+ENTER to open the menu (new window).
  
Content Type
  
Folder: 2017 Community Settings Meeting Minutes
  
4/18/2017 3:22 PMFolder
Folder: A - Transition Advisory Team Meetings
  
6/11/2015 1:41 PMFolder
Folder: Appendices 1-14
  
5/10/2017 9:07 AMFolder
Folder: Appendices A-M
  
5/10/2017 9:08 AMFolder
Folder: B - HCBS Final Rule Transition Plan Comments
  
9/6/2016 10:21 AMFolder
Folder: C - Draft Transition Plan
  
6/24/2015 1:25 PMFolder
Folder: D - Introductory Final Rule Discussion
  
6/11/2015 2:05 PMFolder
Folder: DDA
  
4/18/2017 3:20 PMFolder
Folder: E - Preliminary Survey Information
  
6/11/2015 2:08 PMFolder
Freedom of Choice Form 11.15.pdf
  
7/14/2017 3:13 PMDocument
Folder: May 19, 2017 Webinar Follow-Up
  
5/25/2017 8:46 AMFolder
MD Initial Approval Letter.pdf
  
8/2/2017 3:00 PMDocument
MD State Transition Plan 7.26.17.pdf
  
7/26/2017 2:17 PMDocument
MDCTransmittalNo.86_Freedom of Choice.pdf
  
7/14/2017 3:13 PMDocument
Medicaid HCBS Codebook and Analysis Scheme.xls
  
1/27/2017 9:41 AMDocument
Memo Brain Injury Providers Community Settings 0417.pdf
  
4/24/2017 4:07 PMDocument
Folder: Provider Transformation
  
4/27/2017 8:37 AMFolder
Sample CSQ Current.pdf
  
7/5/2017 1:32 PMDocument
Folder: Stakeholder Notes
  
9/20/2016 11:16 AMFolder
State Transition Plan August 2016.pdf
  
7/21/2017 1:13 PMDocument
Folder: Workgroups
  
4/25/2017 4:36 PMFolder
 
Contact:
Rebecca Oliver, MPA, JD
Health Policy Analyst Advanced
Office of Health Services
Maryland Department of Health and Mental Hygiene
410-767-4902
dhmh.hcbssetting@maryland.gov