Adult Day Health Cares and HCBS Final Rule

How home and community-based settings look in South Carolina will be guided by the requirements outlined in the HCBS Rule.  Every home and community-based setting must meet the five overall requirments outlined in the HCBS Rule and listed below.  SCDHHS will be working with providers as we move forward with the South Carolina HCBS Statewide Transition Plan to ensure settings meet these requirements.  Providers need to be compliant with the new HCBS requirements by the end of 2022 to ensure the state's compliance by March 17, 2023.

Adult Day Health Care (ADHC) services should help individuals:

• Be integrated in and have access to the greater community
• Have opportunities to seek employment and work in competitive integrated settings
• Be engaged in community life
• Control personal resources
• Receive services in the community
• Select a setting to receive services from among setting options; including non-disability specific settings
• Be ensured of their right of privacy
• Be ensured of their right of dignity
• Be ensured of their right of respect
• Be ensured of their right of freedom from coercion
• Be ensured of their right of freedom from restraint
• Optimize their individual initiative
• Optimize their autonomy
• Optimize their independence in life choices, including but not limited to: Choice in daily activities; Choice in physical environment; Choice with whom to interact
• Have individual choice regarding services and supports
• Have individual choice regarding service provider

ADHC providers completed a C4 self-assessment. Ideal answers and global results from that assessment can be found here.

Resources for ADHC Site Visits:

• HCBS Site Visit Tool for ADHCs
• Compliance Action Plan Template
• Instructions for completing a Compliance Action Plan (CAP)

Resources for ADHC Providers:

• CMS Guidance to HCBS Compliance for Non-residential Settings
  • CMS Webinar: HCBS Rule and Wandering/Exit-Seeking, Part 1
  • CMS: FAQs on Participants who Wander/Exit-Seek
  • CMS Webinar: Innovative Strategies for Implementing the HCBS Rules in Settings Serving Aging Americans
  • ACL/CMS Webinar: Promising Practices: Empowering Adults through Supported Decision Making
• HCBS Rule: What Does Choice Look? (Adult Day Services Assoc. of SC Annual Meeting, May 2016)
• HCBS Crosswalk and Translation for ADHCs
• HCBS and DHEC Crosswalk for ADHC's
• Program Resource - Letter to CMS from Justice in Aging
• National Institute on Aging
  • Excersicing with chronic conditions
• Helpguide.org - excercises for people with limited mobility