1. Date of presentation Location of presentation (Or name of audience)
Getting to Know the HCBS Final Rule Jamie Ray-Leonetti Associate Director of Policy
Date of presentation Location of presentation
(Or name of audience)

2. Pennsylvania’s University Center for Excellence in Developmental Disabilities Education, Research and Service

3. VISION
A society where all people are valued and respected, and where all people have the knowledge, opportunity and power to improve their lives and the lives of others.
MISSION The Institute on Disabilities at Temple University learns from and works with people with disabilities and their families in diverse communities across Pennsylvania to create and share knowledge, change systems, and promote self-determined lives so that disability is recognized as a natural part of the human experience. 

4. What is the “HCBS Final Rule”?
Announced by Centers for Medicare and Medicaid Services (CMS) in January 2014
Impact residential and day service settings funded through Medicaid where Home and Community Based Services (HCBS) are provided
Intended to promote choice of daily activities and person-centered planning

5. All HCBS Settings Must -
Be integrated in and facilitate access to the greater community;
Allow individuals optimized autonomy and independence in making life choices;
Be chosen by the individual from among residential and day options, including non-disability specific settings;

6. All HCBS Settings Must (cont.)-
Ensure right to privacy, dignity and respect (including no coercion or restraint);
Provide opportunity to seek competitive employment;
Provide for choice of roommate in a residential setting; and
Encourage choice of services and choice of who provides them.

7. Additional Requirements – Residential Settings Provider Owned-
Have a written lease;
Privacy in the unit including an entrance the individual can lock (key staff may have a key based on individual’s need);
Choice of roommates;
Ability to decorate the unit just as any other leaseholder;
Control of schedule and daily activities;

8. Residential – Provider Owned (Cont.)
Access to food at any time;
Visitors of their choosing at any time; and
A unit that is physically accessible to the individual.

9. Timeline for Implementation -
Rule introduced January 2014
Rule took effect March 2014
Rule compliance deadline extended to March 17, 2022

10. Where are we now? Statewide transition plans
Pennsylvania currently has conditional approval
There will be another period of public comment before final approval is granted in PA
The public comment period is IMPORTANT

11. Why is the Comment Period Important?
This is a chance for self-advocates to have their voices heard;
This will likely be the last opportunity for public comment before the plan becomes final; and
Public comments can help to protect the role of person-centered planning and personal choice.

12. Benefits of the Rule -
Focuses on activities and opportunity for community engagement – not focused on a place, or four walls of a “facility”.
Emphasizes the central role of the individual in building their “everyday life”
Recognizes that no two “everyday lives” look alike

13. Benefits (cont.) - Requires person-centered planning
Never “one size fits all”

14. Potential Challenges of the Rule -
Making sure families and people with disabilities are informed
Ensuring that current day and residential HCBS programs comply with the Rule
Changing the way providers due business
Changing the way individuals think about their day

15. QUESTIONS??

16. Institute on Disabilities at Temple University 1755 N 13th Street Student Center, Room 411S Philadelphia, PA Tel: Fax: Web: MY contact information: Tel: (215)