Please see guidance on completing this form posted on the Department’s website:
https://www.dds.ca.gov/initiatives/cms-hcbs-regulations/.
If you have questions, please contact
hcbs.frule@sdrc.orgMUST BE COMPLETED BY 7/22/22
DETERMINATION OF COMPLIANCE IS AS FOLLOWS:
* Not yet compliant in one or more of the HCBS requirements. Please refer to the self-assessment report or, if received, the virtual on-site assessment report and submit a plan for how compliance will be achieved for each federal requirement. Submit this required plan by responding to the email within 45 days of receipt of the email (7/22/22).
If already compliant with one of the requirements, please provide evidence that confirms compliance.
Please note: Providers must complete a separate form for each service, each vendored program, which they operate.
Frequently Asked Questions (FAQs) and additional information can be found on the Department’s website that provides suggestions for ways to comply with the HCBS requirements, as well as acceptable documents to submit that confirms compliance with a requirement.
Training on the HCBS Final Rule and person-centered practices can be found on the Department’s website:
https://www.dds.ca.gov/initiatives/cms-hcbs-regulations/training-information/