HCBS settings standards
According to the rule, all home and community-based setting must meet the following qualities and characteristics, or standards:
Standards that apply to all HCBS settings
- Setting supports the person's opportunity to seek employment and work in competitive, integrated settings
- Setting supports the person's engagement in community life
- Setting supports the person's control of personal resources
- Setting supports receiving services in the community to the same degree of access as individuals not receiving Medicaid HCBS
- The person chooses setting from available setting options
- Ensure individual rights of privacy, dignity and respect, and freedom from coercion and restraint
- Optimize individual initiative, autonomy and independence in making life choices including daily schedule and with whom to interact
- Facilitate individual choice regarding services and supports and who provides them
Additional standards for provider-owned or -controlled residential settings
- The person has a lease or other legally enforceable agreement
- Privacy in their bedroom or living unit including lockable doors
- Choice of roommates, if shared unit
- Freedom to furnish and decorate unit
- Freedom and support to control schedule and activities, including access to food at any time
- Able to have visitors at any time
- Physically accessible
Modifications of the additional requirements must be:
- Supported by specific assessed need
- Justified and documented in the person-centered service plan
- Documented in the person-centered service plan
