PROGRAM REQUIREMENTS FOR COMMUNITY INCLUSION SERVICES Sample Clauses

PROGRAM REQUIREMENTS FOR COMMUNITY INCLUSION SERVICES. A. Community Inclusion services must adhere to the Home and Community Based settings requirements of 42CFR 441 530(a)(1), including: 1. Ensuring that the setting is integrated in and supports full access to the greater community; 2. Ensuring that the individual receives services in the community to the same degree of access as individuals not receiving Medicaid Home and Community Based Services (HCBS); 3. Ensuring that the setting provides opportunities to seek employment and work in competitive integrated settings; 4. Ensuring that the setting facilitates individual choice regarding services and supports, and who provides them; and 5. Identifying settings that isolate people from the broader community or that have the effect of isolating individuals from the broader community of individuals who do not receive Medicaid HCBS. These settings are presumed not to be home and community-based. B. The Contractor shall: 1. Ensure that the participant receives up to the maximum service hours, per month, as identified in the participant’s DDA PCSP. The PCSP is the driver for service. Service changes will not occur until the participant has received proper notification from DSHS/DDA. 2. Develop, distribute and maintain an individualized annual Community Inclusion plan and a six-month progress report for each participant. The annual plan and progress reports shall contain all minimum required elements, as described in the DDA Criteria for Evaluation. The plan must be signed by the participant and/or legal guardian, and must be distributed to each participant, the assigned DSHS/DDA Case Resource Manager (CRM), the guardian or NSA, as applicable, and others identified by the participant. Associated six-month reports do not require the signatures of the participant, legal guardian, or NSA. 3. Document the delivery of services; such services shall be consistent with the services identified in each participant’s annual service plan and PCSP. 4. Contact each participant for whom they have a fully executed CSA according to the participant’s needs or at least once per month. 5. If the Contractor has reason to terminate services or the participant chooses to discontinue services, notify the participant and the participant’s guardian or NSA, as applicable, in writing and complete and send a Service Termination Report to the appropriate DSHS/DDA CRM and to the County. If the participant/guardian cannot be reached, the Contractor shall document that they have attempted to reach t...
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