Related Links
The Centers for Medicare & Medicaid Services (CMS) provides web-based training presentations and other materials on a variety of Home & Community Based Services (HCBS) topics to ensure that CMS, state agencies and other stakeholders have a clear understanding of HCBS Programs. Training topic categories are listed below which house copies of the presentations CMS has presented from 2015 to present.
- Conflict of Interest
- Electronic Visit Verification
- Health and Welfare
- HCB Settings
- Person-Centered Service Planning
- Quality Improvement
- Rates & Fiscal Integrity
- Other
Conflict of Interest
- Mitigating Conflict of Interest in Case Management: Outcomes to Date (PDF, 895.58 KB) - July 2019
- Conflict of Interest Part II and Medicaid HCBS Case Management (PDF, 899.26 KB) - July 2018
- Conflict of Interest in Medicaid Authorities (PDF, 370.01 KB) – January 2016
Electronic Visit Verification
- Leveraging EVV to Enhance Quality Monitoring and Oversight in 1915 (c) Waiver Programs - February 2020
- Section 12006 of the 21st Century CURES Act Electronic Visit Verification Systems Session 2: Promising Practices for States Using EVV (PDF, 518.02 KB) – January 2018
- Section 12006 of the 21st Century CURES Act Electronic Visit Verification Systems - Session 1: Requirements, Implementation, Considerations, and State Survey Results (PDF, 704.99 KB) – December 2017
Health and Welfare
- A National Overview of Incident Management Systems: Part 3: Incident Management in 1915(c) Waiver Programs: Incident Management Recommendations (PDF, 615.98 KB) - September 2020
- A National Overview of Incident Management Systems: Part 2: Findings from the 1915(c) Incident Management Survey: Improving Quality and Preventing Incidents (PDF, 615.88 KB) - July 2020
- A National Overview of Incident Management Systems: Part 1: Development and Use of Incident Management Systems in States (PDF, 1.05 MB) - June 2020
- Balancing Risk and Choice (PDF, 697.32 KB) - August 2019
- Setting the Stage for the Health and Welfare Special Reviews (H&W SRT) Team In the Context of Home & Community-Based Services (PDF, 424.21 KB) - April 2019
- Risk Assessment and Mitigation Strategies (PDF, 374.93 KB) - April 2019
- Incident Management 101 (PDF, 649.63 KB) - May 2018
HCB Settings
- DLTSS Training Series: Settings Considerations for Waivers and State Plan Amendments (SPAs) (PDF, 1.47 MB) - October 2020
- HCBS Settings: Implications, Reactions, and Innovations of States to the COVID-19 Pandemic (PDF, 3.29 MB) - September 2020
- Engaging Your State Partners in the Statewide Transition Plan (STP) Implementation (PDF, 1.09 MB)
- Provider-Owned or Controlled Settings, Encompassing Lease and Landlord/Tenant Relationships (PDF, 559.18 KB) - November 2019
- Gaining Stakeholder and Provider Buy-In of the HCBS Settings Rule, Including Examples for Educating Consumers, Families and Members (PDF, 1.36 MB) - September 2019
- System Change vs. Compliance Mindset Approach in Implementing the Settings Rule (PDF, 1.88 MB) - June 2019
- The Process for Final Approval of the Statewide Transition Plan (PDF, 374.28 KB) - July 2018
- Assisting Providers in Ensuring Settings Facilitate Community Inclusion (PDF, 1010.1 KB) – March 2018
- HCBS Rule & Wandering/Exit-seeking: Part 1 (PDF, 647.02 KB) – July 2016
- Tennessee Statewide Transition Plan Approval- April, 2016
- Introduction (PDF, 501.79 KB)
- Implementing the HCBS Settings Rule: One State's Approach (PDF, 772.87 KB)
- Monitoring of Compliance with the Home and Community Based Settings Requirements (PDF, 491.45 KB) – March 2016
- Home and Community Based Setting Requirements: Systemic and Site-Specific Assessments and Remediation (PDF, 261.87 KB) – December 2015
- Home and Community Based Settings, Excluded Settings, and the Heightened Scrutiny Process (PDF, 438.44 KB) – November 2015
Statewide Transition Plan Milestones
- Documenting Barriers and Ensuring Forward Motion (PDF, 376.08 KB) - September 2018
- HCBS Settings Statewide Transition Plan Website (PDF, 195.72 KB) – June 2017
- HCBS Standard State Milestones (PDF, 308.67 KB) - April 2017
- State User Guide (PDF, 2.47 MB)
Person-Centered Service Planning
- Steps to Creating a Statewide Person-Centered Service Planning System (PDF, 573.06 KB) - April 2018
- System-Wide Person Centered Planning (PDF, 336.97 KB) - May 2016
Quality Improvement
- Quality in HCBS Authorities, Part 1 (PDF, 647.18 KB) – January 2017
Rates & Fiscal Integrity
Rates & Rate Methodology
- Engaging Stakeholders in the Rate Setting Process (PDF, 227.81 KB) - May 2019
- Preventing Unallowable Costs in HCBS Payment Rates (PDF, 208.79 KB) - June 2018
- Cost Factors and Rate Assumptions Template (PDF, 2.18 MB) - September 2017
- Sample Cost Factors and Rate Assumption Template (XLSX, 117.67 KB)
- Trends in Rate Methodologies for High-Cost, High-Volume Taxonomies (PDF, 406.72 KB) - August 2017
- Tiered Rates: Trends in Acuity-Based and Geography-Based Rate Variation (PDF, 410.75 KB) - July 2017
- Ensuring Rate Sufficiency: Rate Review and Revision Approaches (PDF, 344 KB) - November 2016
- HCBS Waiver Rate Setting Data Validation (PDF, 277.54 KB) - September 2016
- HCBS Waiver Rate Setting: Use of Inflation Factors (PDF, 263.13 KB) - September 2016
- Documentation of Rate Setting Methodology (PDF, 261.92 KB) - September 2016
- Fee Schedule HCBS Rate Setting: Developing a Rate for Direct Service Workers (PDF, 211.52 KB) - July 2016
- Rate Methodology in a Fee For Service HCBS Structure (PDF, 682.26 KB) - March 2016
Fiscal Integrity
- Appendix J: Documenting the Basis of Factors D’, G, and G’ in 1915(c) Waiver Applications (PDF, 211.97 KB) - February 2019
- Estimating and Documenting Factor D in 1915(c) Waiver Applications (PDF, 248.12 KB) - December 2018
- Optional Checklist for Documenting Appendices I & J in 1915(c) Waivers (PDF, 34.52 KB)
- Ensuring the Integrity of HCBS Payments: HCBS Billing Validation Methods (PDF, 307.41 KB) - December 2016
- Financial Accountability Questions and Answers (PDF, 161.91 KB) - October 2016
- Financial Accountability (PDF, 346.2 KB) - September 2016
- Cost Neutrality (PDF, 253.54 KB) - September 2016
- Personal Care Services Part 3: Preserving Self Direction Rights (PDF, 283.47 KB) – June 2016
- Increasing Fiscal Protections for Personal Care Services (PDF, 272 KB) – April 2016
- Monitoring Fraud, Waste, & Abuse in HCBS Personal Care Services (PDF, 507.61 KB) – February 2016
Outcome Based Payments
- Pay-for-Performance Rate Methodologies in a HCBS FFS Environment (PDF, 299.76 KB) – October 2017
- Capitated Rate Setting for MLTSS Programs (PDF, 266.83 KB) – June 2017
- Moving from Fee For Service to Managed Long Term Services and Supports (PDF, 319.94 KB) – June 2017
Other
- Expanding Integrated Community-Based Employment (PDF, 532.13 KB) - January 2020
- Supports for Community Participation (PDF, 431.5 KB) – October 2019
- Combining & Targeting Populations Under 1915(c) (PDF, 1.51 MB) – February 2018