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Title : NCAL Publishes Policy Briefs on HCBS Settings Rule: Spotlight on Co-location
link : NCAL Publishes Policy Briefs on HCBS Settings Rule: Spotlight on Co-location
NCAL Publishes Policy Briefs on HCBS Settings Rule: Spotlight on Co-location
To support states and providers implementing the Home and Community Based Services (HCBS) Settings Rule, NCAL has partnered with Health Management Associates to create four policy briefs that address areas that have been particularly challenging to ensure that assisted living (AL) continues as an appropriate home and community based setting. These briefs provide background on each issue, aggregate the available guidance from the Centers for Medicare and Medicaid Services (CMS), and provide examples of CMS-approved strategies to comply with the rule from those states with approved transition plans.
This week NCAL is spotlighting its brief on Co-location: Community Integration Options and Resident Choice Are Key in Assessment of Co-Located Assisted Living Communities and Inpatient Facilities. This brief addresses options for AL communities located in the same building as inpatient facilities, including nursing homes. Each state must identify those settings for heightened scrutiny review by CMS. Co-located settings may demonstrate compliance with the rule by: (1) differentiating the purpose, design, and programmatic features of the setting; (2) demonstrating the degree of physical, programmatic, and financial disconnect between the AL community and inpatient facility; and (3) demonstrating how the resident’s experience complies with the rule, including through valid consumer experience surveys. AL communities must have a clearly defined approach to support community integration and resident choice. The brief provides concrete examples from CMS guidance and approved transition plans to support states and providers ensure that AL communities continue as an appropriate home and community based setting.
Since 2014, implementation of has been underway to meet the extended 2022 deadline. States continue to work with CMS to have their transition plans approved. States must also assess all HCBS settings for compliance with the rule, and then assemble evidentiary packages for CMS heightened scrutiny review for settings that meet certain criteria.
Week of 4/2
Title: NCAL Publishes Policy Briefs on HCBS Settings Rule: Spotlight on Individual Choice and Privacy
To support states and providers implementing the Home and Community Based Services (HCBS) Settings Rule, NCAL has partnered with Health Management Associates to create four policy briefs that address areas that have been particularly challenging to ensure that assisted living (AL) continues as an appropriate home and community based setting. These briefs provide background on each issue, aggregate the available guidance from the Centers for Medicare and Medicaid Services (CMS), and provide examples of CMS-approved strategies to comply with the rule from those states with approved transition plans.
This week NCAL is spotlighting its brief on Ensuring Individual Choice and Privacy: Documentation in Patient-Centered Plan Is Key for Assessment of Choice and Privacy. The brief describes the choice and privacy provisions of the rule and steps taken by states and AL communities. It describes how states have monitored and documented choice and privacy in AL communities, including the meaningful choice of the AL from a set of options; how AL communities can document the choices offered to and made by residents, such as through availability of private dining and roommate choice; and the privacy elements of AL community policies and practices, including private communications and protection of personal and medical information.
Since 2014, implementation of has been underway to meet the extended 2022 deadline. States continue to work with CMS to have their transition plans approved. States must also assess all HCBS settings for compliance with the rule, and then assemble evidentiary packages for CMS heightened scrutiny review for settings that meet certain criteria.
Week of 4/9
Title: NCAL Publishes Policy Briefs on HCBS Settings Rule: Spotlight on Resolving Differences between Licensure and the Rule’s Requirements
To support states and providers implementing the Home and Community Based Services (HCBS) Settings Rule, NCAL has partnered with Health Management Associates to create four policy briefs that address areas that have been particularly challenging to ensure that assisted living (AL) continues as an appropriate home and community based setting. These briefs provide background on each issue, aggregate the available guidance from the Centers for Medicare and Medicaid Services (CMS), and provide examples of CMS-approved strategies to comply with the rule from those states with approved transition plans.
This week NCAL is spotlighting its brief on Licensure: Resolving Differences Between State Assisted Living Licensure Requirements and HCBS Settings Rule. This brief provides information for AL communities in states whose state requirements may not match or comply with the Settings rule. Differences may include regulations regarding: staffing, which may require or encourage co-mingling and cross training of AL and nursing facility staff; discharge, which require discharge of an individual who has reached a higher level of care; and regulations that require controlled egress or other limitations for people with dementia. To date, CMS has approved transition plans that do not change state regulatory language that is counter to the rule, but the states’ plans promise future changes or clarification in provider manuals and other official communications.
Since 2014, implementation of has been underway to meet the extended 2022 deadline. States continue to work with CMS to have their transition plans approved. States must also assess all HCBS settings for compliance with the rule, and then assemble evidentiary packages for CMS heightened scrutiny review for settings that meet certain criteria.
Week of 4/16
Title: NCAL Publishes Policy Briefs on HCBS Settings Rule: Spotlight on Memory Care
To support states and providers implementing the Home and Community Based Services (HCBS) Settings Rule, NCAL has partnered with Health Management Associates to create four policy briefs that address areas that have been particularly challenging to ensure that assisted living (AL) continues as an appropriate home and community based setting. These briefs provide background on each issue, aggregate the available guidance from the Centers for Medicare and Medicaid Services (CMS), and provide examples of CMS-approved strategies to comply with the rule from those states with approved transition plans.
This week NCAL is spotlighting its brief on Memory Care: An Effective Person-Centered Planning Process Is Key for Memory Care Units. CMS guidance emphasizes the crucial importance of a person-centered planning process for individuals with dementia. This includes the meaningful choice of setting (including one with controlled egress), ensuring that any modifications to the protections of the rule are based on a person-centered process and respond to a specific individual need, and how best practices in dementia care can assist with compliance with the rule and improve overall care. The brief also summarizes a variety of best practices in dementia care, including publications from the Center for Excellence in Assisted Living, the Alzheimer’s Association, CCAL, and the Administration for Community Living.
Since 2014, implementation of has been underway to meet the extended 2022 deadline. States continue to work with CMS to have their transition plans approved. States must also assess all HCBS settings for compliance with the rule, and then assemble evidentiary packages for CMS heightened scrutiny review for settings that meet certain criteria.
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