Home and Community Based Settings (HCBS) Rules - Residential and Day Programs - Rule 1 a

The setting is integrated in and supports full access to the greater community, including opportunities to:

a. seek employment and work in competitive integrated settings.

Employment Supports - Residential

• Employment services and supports

1. Does the setting engage individuals of working or
   school age to see if they are interested in work or
   school?
2. When individuals express an interest in employment,
   does the setting refer them for employment services or
   schooling?
3. Do individuals have access to transportation to and
   from work/volunteering activities?

Employment Supports – Day Program

• Employment services and supports 

1. Does the program support individuals to have
   support to learn new skills or instruction for
   skill development?
2. Does the program support individuals to have
   career exploration opportunities?

Employment Supports – Employment

• Employment services and supports

1. Do individuals have career exploration opportunities?
2. Do individuals, either employed or preparing for
   employment, have job tasks that a non-disabled peer
   would perform for pay?

Summary

1. Rules are basic rights afforded to all members
2. Its not just about the location of where the services are
provided, but its about the individual’s experience and
outcomes
3. Rights may be limited, on a case-by-case basis, if they
jeopardize the health and safety of the member and/or
others
- Must be documented in the service plan
- Strategies developed and monitored to restore rights

For more information visit Medicaid.gov

Visit the AHCCCS Home and Community Based Settings webpage

To see the AHCCCS Home and Community Based Services provider training click Here