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Date ArticleType
1/2/2017 INCAL
CMS Issues Guidance on HCBS Settings to Care for Alzheimer’s and Dementia Residents

On December 15, 2016 CMS release these FAQs concerning how HCBS providers can care for beneficiaries that exhibit unsafe wandering or exit-seeking behavior.  Notably, CMS puts in writing that delayed egress mechanisms are permitted only if it is addressed as a modification of the rules defining HCBS with the state ensuring provider compliance with 42 C.F.R. 441.301(c)(4)(F) (person centered needs assessment and service plan), 441.530(a)(vi)(F) (no unnecessary limitation on autonomy/physical environment/interactions), and 441.710(a)(vi)(F) (specific to 1915(i) programs - person centered needs assessment and service plan).

The keys in this guidance, and as detailed in the FAQs, are robust person centered needs assessments and service plans that use a variety of alternative interventions. The FAQ discusses recommended practices in areas of staffing, environment, and activities, as well as expectations on person-centered service plans. We expect the Indiana Division of Aging to incorporate these FAQs into the design of the new HCBS waiver programs.