HCBS Final Rule

Home and Community Based Services (HCBS)


What is HCBS?

Everyone benefits when people with disabilities are a part of the fabric of our communities, not locked away in the archaic institutions. Institutions are large, often crowded places that limit people and their choices and force them to live segregated lives away from their family and friends without access to the supports needed to live in their own homes and communities.  

People with intellectual and developmental disabilities are provided many services because of the Lanterman Act. Many services people receive are paid for with state and federal money from the federal Centers for Medicare and Medicaid Services (CMS). Therefore, California must comply with what is called the Home and Community-Based Services (HCBS) Final Rule. This rule sets requirements for HCBS settings, which are places where people live or receive services. Each state has until March 2023 to help providers comply with the HCBS Final Rule


Home and Community Based Services Final Rule- Monitoring and Compliance

For the past few years, service providers have worked collaboratively with Harbor Regional Center to come into compliance with the HCBS Final Rule. The process included service providers completing a self-assessment in 2020, followed by virtual site assessments for selected service providers in 2021. By March 17th, 2023 service providers had to submit documentation that demonstrated practices that align with HCBS and the federal requirements.


Imagine the Possibilities: A Path to Employment Success

In this presentation you will learn about:
  • How to use parent training materials created by the CA DD Council to help families embrace competitive employment as part of their student’s future
  • Establishing a better understanding of the experience of families
  • Exploring the impact of expectations and messaging on the decisions families make
  • How to help families play a role in skill-building and finding opportunities for community-based work experiences
  • How to help families work through fears and apprehens

Home and Community-Based Services (HCBS) Final Rule

Compliance Reports

In accordance with Welfare and Institutions Code section 4519.2(b), each regional center shall post Home and Community-Based Services (HCBS) Final Rule compliance information on its website.

September, 2020

October, 2021


Final Rule

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

What is 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 from CMS can be found here:
Home and Community-Based Settings Regulation – Implementation Timeline Extension and Revised Frequently Asked Questions


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. The first step is to review and evaluate current services, including both non-residential and residential programs.

Service Providers were required to submit the HCBS Self-Assessment Survey by August 31, 2020.