[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-240201-105":53,"doc-detail-240201-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","virginia-statewide-transition-plan-2019-addendum","Virginia Statewide Transition Plan - 2019 Addendum","","Virginia’s statewide transition plan addendum (February 2019) details how the Commonwealth will meet Home and Community Based Services (HCBS) settings requirements established by CMS. It outlines required characteristics for HCB settings, including community integration, individual choice, autonomy, and protections for privacy, dignity, respect, and freedom from coercion. For provider-owned or operated residential settings, it specifies additional lease, privacy, lockable access, roommate choice, furnishings, visitor access, and physical accessibility 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Thompson","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-09-23","2026-09-11",true,{"@type":98,"interactionType":99,"userInteractionCount":76},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What prompted Virginia to create a statewide transition plan for HCBS settings?","Question",{"text":108,"@type":109},"CMS issued a final rule requiring states to review and evaluate home and community based settings and to prepare and submit a Statewide Transition Plan addressing the HCBS settings requirements.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What core characteristics must all HCBS settings meet to be considered home and community based?",{"text":113,"@type":109},"Settings must be integrated with full access to the greater community, selected by the individual among options, support autonomy and independence, facilitate individual choice of services and providers, and ensure privacy, dignity, respect, and freedom from coercion and restraint.",{"name":115,"@type":106,"acceptedAnswer":116},"What additional requirements apply to individuals living in provider-owned or operated residential settings?",{"text":117,"@type":109},"They must have a lease or legally enforceable agreement, access to privacy in sleeping units, lockable entrances with keys provided to appropriate staff, freedom to decorate and furnish, ability to control daily schedules and access food anytime, access for visitors at any time, and physical maneuverability/accessibility within the setting.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},240201,1789158357,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":50,"category_name":51,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":76,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":125,"read_time":140},1649267921044,"https://us-avatar.wpscdn.com/avatar/1800007509477c92dfb?_k=1786009248482753345","Contents  \nINTRODUCTION......................................................................................................................... 3  \nBACKGROUND ........................................................................................................................... 5  \nNF LOC WAIVER........................................................................................................................... 5  \nICF/IID LOC WAIVERS ................................................................................................................ 5  \nPUBLIC INPUT ............................................................................................................................ 8  \nNURSING FACILITY LOC: CCC PLUS WAIVER ADHC SETTINGS .............................................. 9  \nADHC SERVICES............................................................................................................................ 9  \nADHC SETTINGS ASSESSMENT ................................................................................................... 11  \nADHC SETTINGS REMEDIATION ................................................................................................. 13  \nADHC SETTINGS: ON-GOING MONITORING .............................................................................. 15  \nHEIGHTENED SCRUTINY .............................................................................................................. 17  \nPRIVATE HOMES........................................................................................................................... 20  \nTIMELINE AND MILESTONE TRACKING....................................................................................... 20  \nICF/IID LOC SETTINGS (DD WAIVERS) .................................................................................... 23  \nASSESSMENT OF SETTINGS........................................................................................................... 23  \nSETTINGS ASSESSED ..................................................................................................................... 26  \nSELF-ASSESSMENT RESULTS ....................................................................................................... 26  \nCOMPLIANCE STATUS OF SETTINGS ............................................................................................ 27  \nNEW PROVIDERS/SETTINGS ......................................................................................................... 36  \nHEIGHTENED SCRUTINY .............................................................................................................. 36  \nTRANSITION OF BENEFICIARIES FROM NON-COMPLIANT TO COMPLIANT SETTING................ 40  \nNOTIFICATION .............................................................................................................................. 41  \nPREPARING FOR RELOCATION..................................................................................................... 42  \nONGOING MONITORING............................................................................................................... 44  \nIMPLEMENTATION OF TIERED STANDARD .................................................................................. 56  \nTIMELINE AND MILESTONE TRACKING....................................................................................... 57  \nPRIVATE HOMES........................................................................................................................... 63  \nNEW SERVICES & OPTIONS ......................................................................................................... 64  \nCONCLUSION ................................................................................................................................ 69  \nAPPENDIX A: 1915(C) NURSING FACILITY LEVEL OF CARE WAIVER (ADHC) ........................ 70  \nAPPENDIX B: 1915(C) ICF/IID LEVEL OF CARE WAIVER (ADHC) ..................","cbCaikTtXralAFbY","https://ap.wps.com/l/cbCaikTtXralAFbY","pdf",5125373,220,"English","# Introduction\n## Background\n## HCBS settings characteristics and protections\n## Residential provider setting requirements","[{\"question\":\"What prompted Virginia to create a statewide transition plan for HCBS settings?\",\"answer\":\"CMS issued a final rule requiring states to review and evaluate home and community based settings and to prepare and submit a Statewide Transition Plan addressing the HCBS settings requirements.\"},{\"question\":\"What core characteristics must all HCBS settings meet to be considered home and community based?\",\"answer\":\"Settings must be integrated with full access to the greater community, selected by the individual among options, support autonomy and independence, facilitate individual choice of services and providers, and ensure privacy, dignity, respect, and freedom from coercion and restraint.\"},{\"question\":\"What additional requirements apply to individuals living in provider-owned or operated residential settings?\",\"answer\":\"They must have a lease or legally enforceable agreement, access to privacy in sleeping units, lockable entrances with keys provided to appropriate staff, freedom to decorate and furnish, ability to control daily schedules and access food anytime, access for visitors at any time, and physical maneuverability/accessibility within the setting.\"}]","Virginia Statewide Transition Plan - 2019 Addendum | PDF",77]