[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-353334-105":3,"detail-sidebar-cat-1-en-105":81,"doc-detail-353334-en":127},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","hcbs-remediation-plan-template","HCBS Remediation Plan Template","","HCBS Remediation Plan Template provides a structured set of remediation questions and fields for evaluating Medicaid HCBS settings against federal requirements (42 CFR 441.301). It covers community integration, the individual’s selection among setting options, privacy, dignity, and freedom from coercion and restraint, and the optimization of individual autonomy and independence. The template includes prompts to describe location features, transportation supports, activity availability, participation by the broader community, confidentiality, accessibility, and restrictions approved through the individual’s ISP.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/forms/","Forms",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/hcbs-remediation-plan-template/353334/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/hcbs-remediation-plan-template/353334.png","ImageObject",442,249,{"name":42,"@type":43},"Lucas Martin","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-22","2026-09-22",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",8,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What community integration requirements are assessed in the plan?","Question",{"text":63,"@type":64},"The plan checks whether the setting supports full access to the greater community, including opportunities to seek employment, engage in community life, control personal resources, and receive services with comparable access to individuals not receiving Medicaid HCBS. It also prompts for neighborhood description and any physical indicators needing remediation.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the template evaluate an individual’s ability to choose where they live?",{"text":68,"@type":64},"It asks whether the agency’s policies ensure individuals can select the home they wish to reside in when services are provided in multiple settings. It also covers assistance if an individual wants to move or change providers and whether the agency owns the setting and whether it is licensed.",{"name":70,"@type":61,"acceptedAnswer":71},"What privacy and autonomy elements are included?",{"text":72,"@type":64},"The plan requires evaluating confidential storage of private information, accessibility to enter/exit and move freely, privacy in personal care and health-related tasks, and full access to residential areas with any approved restrictions. It also checks whether daily routines vary based on individual choice and whether there is flexibility in activity schedules.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},353334,1791365340,{"code":4,"msg":82,"data":83},"success",[84,89,94,99,104,109,113,118,123],{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},11,"Presentations",90,"presentations",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},12,"Resumes",80,"resumes",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},14,"Invoices",70,"invoices",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},15,"Posters",60,"posters",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},16,"Social Media",50,"social-media",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":111,"slug":112},17,40,"forms",{"id":114,"doc_module":22,"doc_module_name":25,"category_name":115,"show_sort_weight":116,"slug":117},18,"Letters",30,"letters",{"id":119,"doc_module":22,"doc_module_name":25,"category_name":120,"show_sort_weight":121,"slug":122},21,"Paper Templates",5,"papers-templates",{"id":124,"doc_module":22,"doc_module_name":25,"category_name":125,"show_sort_weight":4,"slug":126},158,"General","general-158",{"code":4,"msg":82,"data":128},{"doc_id":79,"user_id":129,"nickname":42,"user_avatar":130,"doc_module":22,"category_id":110,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":136,"language":137,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":138,"faqs":139,"seo_title":140,"seo_description":12,"update_tm":141,"read_time":30},8796095360427,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Setting location: (Address)    \nServices provided:    \nName of provider:    \n1. The setting is integrated in and supports full access of individuals receiving Medicaid HCBS to the greater community, including opportunities to seek employment and work in competitive settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving Medicaid HCBS. 42 CFR 441.301 (c)(4)(i)  \n\n| Describe the neighborhood in which the setting is located. |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Are there any physical indicators that make this location stand out from the surrounding community?(Gates, signage, etc.) | YES |  | NO |  |  |\n|  | If Yes, please provide plan for remediation: |  |  |  |  |\n| Are transportation supports available (public, provider-operated, other, etc. ) to allow individuals to travel to other locations? | YES |  | NO |  |  |\n|  | If No, please provide plan for remediation: |  |  |  |  |\n| Are activities available in naturally occurring environments outside the HCBS setting? | YES  NO \u003Cbr>If No, please provide plan for remediation:\u003Cbr>If Yes, please describe: |  |  |  |  |\n| For those individual/group activities offered within the setting, are members from the broader community encouraged to participate? | YES  NO \u003Cbr>If No, please provide plan for remediation:\u003Cbr>If Yes, please describe: |  |  |  |  |\n| Are tasks and activities provided on-site comparable to those for people of similar ages without | YES  NO \u003Cbr>If No, please provide plan for remediation: |  |  |  |  |\n\n\n| disabilities? Intent: people can learn-new opportunities | If Yes, please describe: |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Do you ensure that individuals with complex physical, medical, and/or behavioral needs are afforded the same level of access to community activities and involvement with visitors as people with less complex needs? | YES  NO \u003Cbr>If No, please provide plan for remediation:\u003Cbr>If Yes, please describe:\u003Cbr>YES  but with restrictions approved in accordance with individual’s ISP |  |  |  |  |\n| Do you have policies/practices that promote involvement by members of the general public and/or encourage individuals to invite friends and family to their home? | YES |  | NO |  |  |\n|  | If No, please provide plan for remediation:\u003Cbr>If Yes, please describe: |  |  |  |  |\n| Does your agency have a strategic plan which promotes developing and maintaining community connections? | YES  NO \u003Cbr>If No, please provide plan for remediation:\u003Cbr>If Yes, please describe: |  |  |  |  |\n| Does the setting balance the agency mission of serving people with developmental disabilities with being a part of the broader community? | YES |  | NO |  |  |\n|  | If No, please provide a plan for remediation:\u003Cbr>If Yes, please describe: |  |  |  |  |\n\n2. The setting is selected by the individual from among other setting options including non-disability-specific settings 42 CFR 441.301 (c)(4)(ii)  \n\n| Once an individual selects your agency as their provider, does your agency have polices/practices that ensures that individuals are able to select the home in which they wish to reside if your agency provides services in multiple settings? | YES  NO  NA (Agency Operates in only one setting) \u003Cbr>If No, please provide a plan for remediation:\u003Cbr>If Yes, please describe: |  |  |  |  |\n| --- | --- | --- | --- | --- | --- |\n| Does your agency have policies/practices that assist an individual with obtaining assistance if they desire to move/change provider? | YES |  | NO |  |  |\n|  | If No, please provide a plan for remediation:\u003Cbr>If Yes, please describe: |  |  |  |  |\n| Does your agency own the setting in which the individual receives waiver services? | YES  NO \u003Cbr>If Yes, is the setting licensed? YES  NO  |  |  |  |  |\n\n3. The setting ensures an individual’s right to privacy, dignity, and respect and freedom from coercion and restraint. 42 CFR 441.301 (c)(4)(i","cbCaiqKAjjCrxqbC","https://ap.wps.com/l/cbCaiqKAjjCrxqbC","pdf",224624,7,"English","# Remediation Plan Components\n## Community Integration and Access\n## Individual Selection of Setting Options\n## Privacy, Dignity, Respect, Freedom from Coercion and Restraint\n## Individual Autonomy and Independence","[{\"question\":\"What community integration requirements are assessed in the plan?\",\"answer\":\"The plan checks whether the setting supports full access to the greater community, including opportunities to seek employment, engage in community life, control personal resources, and receive services with comparable access to individuals not receiving Medicaid HCBS. It also prompts for neighborhood description and any physical indicators needing remediation.\"},{\"question\":\"How does the template evaluate an individual’s ability to choose where they live?\",\"answer\":\"It asks whether the agency’s policies ensure individuals can select the home they wish to reside in when services are provided in multiple settings. It also covers assistance if an individual wants to move or change providers and whether the agency owns the setting and whether it is licensed.\"},{\"question\":\"What privacy and autonomy elements are included?\",\"answer\":\"The plan requires evaluating confidential storage of private information, accessibility to enter/exit and move freely, privacy in personal care and health-related tasks, and full access to residential areas with any approved restrictions. It also checks whether daily routines vary based on individual choice and whether there is flexibility in activity schedules.\"}]","HCBS Remediation Plan Template | PDF",1790104782]