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Sacramento, CA 94244-2020

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PUBLIC NOTICE — Amendment to Home and Community Based Services
(HCBS) Waiver for the Developmentally Disabled

The Department of Health Care Services (DHCS) in partnership with the Department of Developmental Services (DDS) is seeking to amend the 1915(c) Home and Community-Based Services (HCBS) Waiver for Persons with Developmental Disabilities.

Description of Waiver Amendment

The HCBS waiver is available statewide to provide individuals with developmental disabilities the desired services and supports needed to implement their Individual Program Plan (IPP). The proposed amendment will include the following changes:

  • Community Crisis Homes
    • the addition of Community Crisis Homes as a new provider type under Behavioral Intervention Services;
    • the establishment of a new Community Crisis Homes rate methodology for this provider type, developing a monthly rate based on the facility component, the individualized services and supports component, and the transition plan component
    • the addition of an 18 month limitation on participant stays at Community Crisis Homes unless additional days are approved by the Department
    • DDS development of the residential option of Community Crisis Homes as required by Senate Bill 856 (2014). This alternative living option is an adult residential facility, providing 24-hour nonmedical care to individuals with developmental disabilities receiving regional center services and in need of crisis intervention services to prevent admission to a more restrictive environment
  • Time Limited Rate Increase
    • The 2018 Budget Act provided DDS with time limited funding for service provider rate increases. DDS was tasked with determining the methodology of how the funds will be distributed, in consultation with the California Department of Finance. These funds will be available for 12 months upon CMS approval. Each of the service provider types described below will receive a rate increase of approximately 2.07%
    • This time limited rate increase is for specified service providers of Community-Based Day Services, In-Home respite agencies, and providers of Community Living Arrangement Services with rates set using the Alternative Residential Model for providers located in counties in which the average weekly wage is $900 or higher as compiled by the US Bureau of Labor Statistics data for the 4th quarter of 2017. More information regarding the rate increase and the identified counties can be found here. The proposed rate increase is described as Option 3 in this document
  • Community Based Adult Services
    • The addition of Community Based Adult Services as a new service, and establishment of the rate to be the maximum rate based on the Schedule of Maximum Allowances, to align the HCBS Waiver for Persons with Developmental Disabilities with services available in the 1915(i) State Plan
  • Adult Day Health Care Center
    • The addition of Adult Day Health Care Center as a new provider type under Community Based Adult Services, and establishment of the rate for the provider type to be the maximum rate based on the Schedule of Maximum Allowances, to align the HCBS Waiver for Persons with Developmental Disabilities with services available in the 1915(i) State Plan

The aggregate fiscal impact of this amendment is estimated to be $172,200,000 for waiver years 2-5.

The DDS is soliciting input on the proposed amendment to the 1915(c) HCBS Waiver for Persons with Developmental Disabilities under the Social Security Act. The waiver amendment application will be posted on the DDS website at www.dds.ca.gov/waiver. The public comment period will begin on December 14, 2018. Public comments will be considered through January 14, 2019. Comments or requests to review/receive a hardcopy of the application can be submitted via email to ashley.draper@dds.ca.gov or or in writing to the Department of Developmental Services, Attention Federal Program Operations Section, 1600 Ninth Street, Room 310 (MS 3-8), Sacramento, CA 95814.

If you have any questions, please contact Ashley Draper, Assistant Chief, Federal Programs Operations Section at (916) 653-0960 or ashley.draper@dds.ca.gov.

 
Last Updated: 12/14/2018