HCBS Requirements Compliance Toolkit, CMS Guidance Regarding Person-Centered Planning for Wandering Patients in Home and Community-Based Settings

​CMS has developed an HCBS Rule compliance toolkit tailored for the new HCBS requirements.The toolkit includes the recently released CMS guidance on person-centered planning for beneficiaries who exhibit unsafe wandering or exit-seeking behaviors, including answers to frequently asked questions CMS has received from states, providers, and stakeholders on how best to comply with the new requirements while caring for these high-risk patients. Overall, CMS is recommending that providers focus on person-centered planning and providing person-centered services for all individuals served. 

​The compliance toolkit contains the following:

-FAQs concerning Medicaid Beneficiaries in Home and Community-Based Settings who Exhibit Unsafe Wandering or Exit-Seeking Behavior
-A summary of the regulatory requirements of fully compliant HCB settings and those settings that are excluded
-Schematic drawings of the heightened scrutiny process as a part of the regular waiver life cycle and the HCBS 1915(c) compliance flowchart.
-Additional technical guidance on regulatory language regarding settings that isolate.
-Exploratory questions that may assist states in the assessment of: 
    Residential Settings 
    Non-Residential Settings
-Questions and Answers Regarding Home and Community-Based Settings
-Statewide Transition Plan Toolkit for Alignment with HCB Settings Regulation Requirements
-Frequently Asked Questions Regarding the Heightened Scrutiny Review Process and Other Home and Community-Based Settings Information
-Frequently Asked Questions on Planned Construction and Person-Centered Planning Requirements

Information regarding the HCBS Final Regulation and the full Settings Requirements Compliance Toolkit are available here.


We hope this information is helpful. If you have questions or need additional assistance, please contact the INARF office.