Policy & Evidence Expectation: Evidence for this question should always illustrate policy of the site to allowing and encouraging persons-served to be active members of the community.  Preferred evidence would be a policy(s)/procedure(s) indicating persons-served are provided opportunities to participate in community events, activities and services at their discretion.  These opportunities can be provided in multiple ways (transportation, planning, scheduling, etc.) but ultimately must be focused that the provider allows and encourages participation in community events, activities and services. 

NOTE: Community means greater community not community within setting or site.

CMS/Final Rule Guidance: The setting is integrated in and supports full access of individuals receiving Medicaid HCBS to the greater community, including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving Medicaid HCBS. Optimizes, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to, daily activities, physical environment, and with whom to interact.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s) indicating persons-served are provided opportunities to participate in community events, activities and services and how those opportunities are provided to persons-served.  

NOTE: Many settings provide fantastic activities.  This question is focused on informing persons-served on activities that are not specifically offered by the provider but are available in the greater community.

CMS/Final Rule Guidance: The setting is integrated in and supports full access of individuals receiving Medicaid HCBS to the greater community, including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving Medicaid HCBS.

According to the Final Rule the setting will optimize, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to, daily activities, physical environment, and with whom to interact.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s) indicating persons-served are provided opportunities to participate in community events, activities and services when they choose. 

CMS/Final Rule Guidance: The setting is integrated in and supports full access of individuals receiving Medicaid HCBS to the greater community, including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving Medicaid HCBS.

According to the Final Rule the setting will optimize, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to, daily activities, physical environment, and with whom to interact.

Policy & Evidence Expectation: Preferred evidence would be policy(s)/procedure(s) indicating persons-served have the ability to “come and go” when they want and any modification/limitation to the ability to “come and go” would be addressed in the person centered plan.

CMS/Final Rule Guidance: According to the Final Rule the setting will optimize, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to, daily activities, physical environment, and with whom to interact. Individuals are able to have visitors of their choosing at any time.

Policy & Evidence Expectation: Preferred evidence would be policy(s)/procedure(s) indicating persons-served have the ability to “come and go” when they want and any modification/limitations to the ability to “come and go” would be addressed in the person centered plan.

NOTE: This question is also made valid through a valid response to D4

CMS/Final Rule Guidance: The setting is selected by the individual from among setting options including non-disability specific settings and an option for a private unit in a residential setting. The setting options are identified and documented in the person-centered service plan and are based on the individual’s needs, preferences, and, for residential settings, resources available for room and board.

According to the Final Rule the setting will optimize, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to, daily activities, physical environment, and with whom to interact. Individuals are able to have visitors of their choosing at any time.

Policy & Evidence Expectation: Preferred evidence would be visitation policy or procedures stating that persons-served may have visitors at any time. For a non-residential setting this could include how visitation is allowed for all individuals including those without disabilities.

CMS/Final Rule Guidance: According to the Final Rule the setting will optimize, but does not regiment, individual initiative, autonomy, and independence in making life choices, including but not limited to, daily activities, physical environment, and with whom to interact. Individuals are able to have visitors of their choosing at any time.