NCI: Evidence for HCBS Requirements and Revised HCBS Assurances

Date: 11/2015

Author(s): HSRI

This guide identifies relevant National Core Indicators (NCI) data that states can use to inform their statewide assessment efforts and to demonstrate systems-level ongoing compliance with the Centers for Medicare and Medicaid Services (CMS) home and community-based services (HCBS) requirements and with Quality Assurances and Sub-Assurances. CMS quality management expectations for the operation of HCBS continue to evolve. CMS issued HCBS requirements that went into effect in March 2014; these included requirements for HCBS settings and person-centered service planning. In addition, CMS revised the HCBS Quality Assurances and SubAssurances, which also became operative in March 2014. This updated version of the 2014 NCI Performance Indicators: Evidence for the New HCBS Requirements and Revised HCBS Assurances includes new NCI survey questions that align with the CMS changes as well as the addition of NCI survey question numbers and question text. The tool is best used for assessing compliance at a systems level.

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