Service Providers

HCBS Final Rule

January 25,2021

Harbor Regional Center (HRC) is announcing the Home and Community-Based Services (HCBS) Provider Funding for Compliance Activities.

As you may know, the HCBS were developed to offer support to individuals in community settings, as an alternative to institutional care. In 2014, new federal rules were released by the Centers for Medicare & Medicaid Services (CMS), requiring homes and programs where HCBS are delivered to meet new criteria. The 2020 enacted budget contains $15 million statewide to fund changes that are necessary for providers to come into compliance with the HCBS rules by March 2023.

HRC invites eligible services providers to apply for HCBS Compliance Funding to develop unique and innovative solutions to community integration, promote choice and independence, provide a more creative program offering, and activities that help your program achieve HCBS compliance. The deadline for submission of concepts to HRC is February 12, 2021.

Click here to view service codes eligible for submission of HCBS concepts, deadlines for submission, and timelines for approval.

For background information on HCBS: Home and Community-Based Services (HCBS) Final Rule : CA Department of Developmental Services
For the HCBS Funding Guidelines FY2021: HCBS Funding Guidelines FY 20_21 (ca.gov)

Please send your HCBS Concept proposals to HRCHCBS@harborrc.org by 2/12/21. For questions about HCBS Compliance Funding, please call Stacy Schafer, Provider Relations Specialist, at (310) 543-0113 or email Stacy.Schafer@harborrc.org.

Strategies for Providing Services in Alignment with the Final Rule

The California Department of Developmental Services, in partnership with Public Consulting Group, presented a webinar on strategies for providing services in alignment with the Home and Community-Based Services (HCBS) Settings Final Rule. This webinar provided information and support for reimagining services and supports in alignment with the HCBS Final Rule.

  • the intent of the HCBS Final Rule
  • the importance of person-centered planning
  • implementing practices that consider both in the way services are provided
  • examples of strategies for achieving alignment for each of the federal requirements.

Download Power Point
View recording of training

Fact Sheets For Clients, Families, and Service Providers: Home and Community-Based Services (HCBS) Final Rule: Department of Developmental Services

For Clients and Families

More info

Date Extension for Transition Period to Compliance with HCBS Final Rule

CMS issued guidance to states on July 14, 2020, indicating that the transition period for ensuring compliance with the HCBS Final Rule has been extended one year to March 17, 2023, in response to the COVID-19 pandemic. The guidance can be found here: https://www.medicaid.gov/Federal-Policy-Guidance/Downloads/smd20003.pdf.

Materials and recorded webinar and/or presentations will be posted on the Department’s website at https://www.dds.ca.gov/initiatives/cms-hcbs-regulations/.

HCBS Statewide Transition Plan

Service Providers Self-Assessment

The California Statewide Transition Plan (STP) outlines the steps the State will take to be in alignment with the HCBS Final Rule. Service Providers were required to submit the HCBS Self-Assessment Survey by August 31, 2020.

If a provider is not in compliance with all the requirements, there is time to develop a transition plan so the provider can achieve compliance by March 2023, the date by which states have to implement the federal requirements.

Home and Community Based Services (HCBS) Regulations

Provider Funding for Compliance Activities

In January 2014, the federal Centers for Medicare & Medicaid Services issued final regulations, or rules, for Home and Community-Based Services (HCBS)1. The rules require that HCBS programs funded through Medicaid - called Medi-Cal in California - provide people with disabilities full access to the benefits of community living and offer services and supports in settings that are integrated in the community. This could include opportunities to seek employment in competitive and integrated settings, control personal resources, and engage in the community to the same degree as individuals who do not receive regional center services. The HCBS rules focus on the nature and quality of individuals’ experiences and not just the buildings where the services are delivered.

2019 HCBS Approved Compliance Proposals Awarded To

Social Vocational Services
$50,000

2018 HCBS Approved Compliance Proposals Awarded To

Canyon Verde
$84,375

Exceptional Children's Foundation
$138,900

South Bay Vocational Center
$125,770

2017 HCBS Approved Compliance Proposals Awarded To

Able Arts Work aka Arts and Services for the Disabled
$241,000

ARC – Long Beach
$111,603

Dungarvin Long Beach
$163,824

Unlimited Quest
$63,480
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