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Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


Note: DHS updated this eList on July 12, 2023, to remove integrated community supports (ICS) from the list of applicable services for the updates to collocated setting policy.

ICS settings did not exist prior to 2021, and they did not go through the attestation/validation process. The current policy for ICS is on CBSM – ICS, and customized living transition information is on CBSM – ICS transition plans.

DSD eList announcement

Date: June 12, 2023
To: Home and community-based services (HCBS) providers, lead agency staff and all interested parties
From: DHS Disability Services Division
Purpose: To announce updates to collocated setting policy for certain Brain Injury (BI), Community Alternative Care (CAC), Community Access for Disability Inclusion (CADI) and Developmental Disabilities (DD) waiver services
Effective: Immediately
Contact: DSD Contact Form

Updates to collocated setting policy

DHS updated the collocated setting policy to include exceptions based on the status of the setting.

Collocated setting policy and exceptions apply to the following services through the BI, CAC, CADI and DD waivers:

  • · Adult day services, including adult day bath and family adult day services.
  • · Community residential services.
  • · Customized living or 24-hour customized living.
  • · Day support services.
  • · Family residential services.
  • · Prevocational services.
  • Collocated setting policy and exceptions do not apply to Alternative Care (AC) or the Elderly Waiver (EW).

    Current collocated setting policy

    When a single provider leases or owns more than one service setting located on the same or adjoining property, the lead agency can only authorize services in one of the settings. A service setting includes a setting used to deliver any of the following services:

  • · Adult and child foster care.
  • · Adult day services, including adult day bath and family adult day services.
  • · Community residential services.
  • · Customized living or 24-hour customized living.
  • · Day support services.
  • · Family residential services.
  • · Integrated community supports.
  • · Prevocational services.
  • This current policy remains in effect. DHS standardized the language about this policy on all applicable pages in the Community-Based Services Manual (CBSM).

    New collocated setting exceptions

    DHS updated applicable pages in the CBSM to add new policy about collocated setting exceptions. The exceptions are related to the setting’s status:

    Setting status: The provider maintains ownership/control of the setting, and the 2017/2018 HCBS attestation/validation process determined HCBS setting compliance. In this situation:

  • · The provider may continue to deliver services in collocated settings if waiver services have been continuously provided by the same provider that maintained ownership/control of the setting.
  • · The provider can confirm if 2017/2018 attestations were completed for collocated settings by using the DSD Contact Form to submit the provider’s name, setting address and provider identification number.
  • Setting status: There was a sale or transfer of ownership to a new provider, and the 2017/2018 HCBS attestation/validation process determined HCBS setting compliance. In this situation:

  • · The new provider/owner must complete an HCBS site-specific review to ensure the people living in these settings are not isolated from the community. The provider must use the DSD Contact Form to complete the site-specific review process.
  • · The provider can confirm if 2017/2018 attestations were completed for previously owned collocated settings by using the DSD Contact Form to submit the provider’s name, setting address and provider identification number.
  • Previous eList announcements

    DSD LEAD AGENCY ARCHIVE | DSD STAKEHOLDER ARCHIVE

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