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Community-Based Services Manual (CBSM)

Community-Based Services Manual (CBSM)


DSD eList announcement

Date: Oct. 20, 2026
To: Lead agencies; disability waiver case managers; 245D-licensed providers; Department of Children, Youth and Families; and Department of Direct Care and Treatment
From: DHS Disability Services Division
Purpose: To announce Community-Based Services Manual (CBSM) updates about waiver crisis respite changes
Contact: DSD Contact Form

CBSM updates about waiver crisis respite changes

DHS updated CBSM – Crisis respite to reflect changes to waiver crisis respite for the following waivers:

  • · Brain Injury (BI).
  • · Community Access for Disability Inclusion (CADI).
  • · Community Alternative Care (CAC).
  • · Developmental Disabilities (DD).

    • The Centers for Medicare & Medicaid Services (CMS) approved these changes on March 25, 2026. For more information, refer to the March 31, 2026, eList announcement.

    Details

    DHS made the following updates to CBSM – Crisis respite:

  • · Added requirements and guidelines for specialized staff.
  • · Added consultative crisis respite as a new modality.
  • · Added requirements for assessment; consultation; implementation and oversight; training and supervision; and transition planning.
  • · Added a 180-day service limit for all modalities of waiver crisis respite.
  • · Added initial details about an extension process for waiver crisis respite beyond 180 days. Effective Jan. 1, 2027, DHS will implement the process to request an extension of waiver crisis respite beyond the 180-day limit.
  • · Added and updated provider standards and qualifications.
  • · Updated billing codes to reflect the approved changes.

    • Note: DHS announced the 180-day service limit and our work to develop an extension process in an Oct. 6, 2026, eList announcement. We will send another eList announcement before we implement the extension process.

    Webinars about the changes

    DHS is hosting a series of webinars to review the waiver crisis respite changes. For more information, refer to the Oct. 13, 2026, webinar announcement.

    Previous eList announcements

    DSD LEAD AGENCY ARCHIVE | DSD STAKEHOLDER ARCHIVE

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