On January 10, 2014, the Centers for Medicare and Medicaid Services (CMS) issued final regulations regarding home- and community-based settings (HCBS). The rule supports enhanced quality in HCBS programs, outlines person-centered planning practices, and reflects CMS' intent to ensure that individuals receiving Medicaid funded services have full access to the benefits of community living and are able to receive services in the most integrated setting. As part of Vermont’s Global Commitment to Health (GC) waiver, effective January 30, 2015, CMS has asked Vermont to provide assurances in its Comprehensive Quality Strategy that the State’s Managed Long-Term Services and Supports (MLTSS) are in compliance with certain aspects of the HCBS rule, specifically those related to the setting requirement, person- centered approaches for service planning and conflict-free case management.
- CMS HCBS Regulations
- CMS 3-Year Extension Announcement
- CMS Letter to States
- CMS Guidance Website
- Vermont GC Comprehensive Quality Strategy
- Vermont Conflict-Free Case Management Web Page
Program Documents & Tools
- DAIL Provider Self-Assessment Survey
- Choices for Care Alignment Report FINAL
- Choices for Care HCBS Reference Table - Home-Based
- Choices for Care Reference Table - Enhanced Residential Care
- Choices for Care Work Plan (updated December 2016)
- DRAFT Case Management Standards Revision
- DRAFT List of Case Management Standards Changes
- DRAFT Adult Day Standards Revision
- DRAFT List of Adult Day Standards Changes
- DRAFT Universal Provider Standards Manual Section
- DRAFT Adult Family Care Manual Section
- DRAFT Rights & Responsibilities Manual Section
- DRAFT Live-In Care Agreement Form 808
- FINAL Case Management Standards Revision
- FINAL Adult Day Standards Revision