Section G: Rights
Section H: Accessible Environment
Section I: Non-Residential Services

Policy & Evidence Expectation: Preferred evidence would be policy(s)/procedure(s) indicating both volunteers and staff receive training on rights of persons-served, even if the site you are representing currently does not have an active volunteer program.

CMS/Final Rule Guidance: Ensures an individual’s rights of privacy, dignity and respect, and freedom from coercion and restraint. Facilitates individual choice regarding services and supports, and who provides them.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s) indicating persons-served receive information about their rights.

CMS/Final Rule Guidance: Ensures an individual’s rights of privacy, dignity and respect, and freedom from coercion and restraint. Facilitates individual choice regarding services and supports, and who provides them. 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. 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.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s) indicating persons-served receive information about the process for filing a grievance if they believe their rights have been violated

CMS/Final Rule Guidance: Ensures an individual’s rights of privacy, dignity and respect, and freedom from coercion and restraint. Facilitates individual choice regarding services and supports, and who provides them. 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. 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.

Policy & Evidence Expectation: Preferred evidence would be policy(s)/procedure(s) indicating the site is accessible to the persons-served at this facility or that the site will become accessible to the persons-served at this facility. Photos can make supporting evidence but are not compliant as standalone evidence.

CMS/Final Rule Guidance: The setting is physically accessible to the individual.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s)indicating the site offers accommodations to persons-served who need supports to move about the facility, this would include such items as grab bars, seats in the bathroom, ramps for wheelchairs, etc.

CMS/Final Rule Guidance: The setting is physically accessible to the individual.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s)indicating the site does not have barriers which limit access, such as Velcro strips, locked doors, locked cupboards, locked refrigerators, etc. If there are necessary restrictions documented in a PCSP they should not affect any person served that do not have these restrictions documented.

CMS/Final Rule Guidance: Ensures an individual’s rights of privacy, dignity and respect, and freedom from coercion and restraint.

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. Individuals have the freedom and support to control their own schedules and activities and have access to food at any time.

No Suggested Documentation or Policy Expectation for this question. Question shown only if “yes” is selected on question I1.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s) indicating persons-served have the right to choose their work schedule the same as persons who do not have disabilities.

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. 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. Individuals have the freedom and support to control their own schedules and activities and have access to food at any time.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s) indicating persons-served have the right to participate in deciding their activity schedule when not doing paid work.

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. 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 have a space to secure their personal belongings while at the facility.

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.

Policy & Evidence Expectation: Preferred evidence would be policy(s)/procedure(s) indicating persons-served are afforded privacy during personal care.

CMS/Final Rule Guidance: Ensures an individual’s rights of privacy, dignity and respect, and freedom from coercion and restraint.

Policy & Evidence Expectation: Preferred evidence would be a policy(s)/procedure(s) indicating persons-served have the opportunity to participate in tasks and activities matched to their skills, abilities, and desires.

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. 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.