HCBS compliance is not just a paperwork requirement. It must be reflected in the way services are delivered every day. The expectation is that providers operate programs that promote:
- Individual choice and informed decision-making.
- Community access and participation.
- Privacy, dignity, and respect.
- Person-centered planning and documentation.
- Staff understanding of HCBS expectations through HCBS training.
- Reasonable, individualized approaches to health and safety.
- Corrective action when a practice does not align with HCBS requirements.
The day-to-day practice of these principles can be recognized in
- Interviews with individuals served which includes all elements of the settings criteria
- Individual satisfaction surveys linked to specific areas
- Interviews with service providers and direct support professionals which includes all elements of the settings criteria
- Review of service provider records (program design, policies and procedures, staff trainings, signed admission agreements, meeting notes with individuals served, calendar of scheduled activities with documentation of how they were chosen by the individual, and other applicable documentation)
- Individual Program Plans (IPPs)
- On-site review and observation