CMS HCBS Final Rule

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HCBS Provider Compliance Funding Guidelines for FY 2019-2020

The Department of Developmental Services’ issued Fiscal Year 2019-20 HCBS Provider Compliance Funding Guidelines for service providers who wish to apply for funding.

The Department will hold two, one-hour webinars to review the funding application process and answer questions on Monday, October 28, 2019, from 10:00 a.m. – 11:00 a.m. and Wednesday, and November 6, 2019, from 1:00 p.m. – 2:00 p.m. Please note the application has been modified from years past.  To register for any of the above webinars, follow the instructions found at

We encourage service providers in need of taking steps towards modifying their services to come into compliance with the HCBS rules by March 2022, to apply.

Applications are due November 22, 2019.

Service providers, please note the following service codes are required to meet HCBS final rule:


  • Activity Center
  • Adult Day Care Center
  • Adult Day Care Facility
  • Adult Day Program
  • Adult Day Support Center
  • Adult Development Center 
  • Adult Family Home 
  • Adult Residential Facility
  •  Adult Residential Facility for Persons with Special Health Care Needs
  • Behavior Management Program 
  • Certified Family Home 
  • Child Day Care Center
  • Child Day Care Facility
  • Community Activities Support Service
  • Community Integration Training Program
  • Community-Based Training Provider
  • Family Child Care Home
  • Family Teaching Home
  • Foster Family Home
  • Group Home
  • Residential Care Facility for the Elderly
  • Small Family Home
  • Socialization Training Program
  • Supported Employment (Group Services)
  • Work Activity Program



>> View Attachment C HCBS Funding FY 19-20

>> View the HCBS Funding Guidelines FY 19-20

>> View Attachment C Budget HCBS Funding FY 19-20

>> View Attachment D HCBS Funding FY19-20


What is the CMS HCBS Final Rule?

On March 14, 2014, the federal Centers for Medicare & Medicaid Services (CMS) set forth The Final Rule (requirements) for homes and programs where Home and Community-Based Services (HCBS) are delivered.  Vendors must meet this criteria in order to qualify for federal funding under the Medicaid program (called “Medi-Cal” in California) ¹. NLACRC is devoted to assisting our vendors in meeting the rules. Our goal is to provide technical assistance to vendors in order to obtain compliance by 2022.

The California Department of Developmental Services has collaborated with Public Consulting Group (PCG) to offer training opportunities on the Home and Community Based Services settings Final Rule.

The Department of Developmental Services, Public Consulting Group and Support Development Associates worked in partnership to create a training series on the HCBS Final Rule. A recording of the first training can be viewed through the link below:

Overview of the HCBS Settings Final Rule

View the Department of Developmental Services (DDS) Federal HCBS Final Rule Trainings flyer

Links to additional resources from DDS and CMS for more details on the Final Rule:

General HCBS DDS website

DDS Fact Sheet

Frequently Asked Questions (FAQs)


DDS Contact Information:

The Department welcomes comments or questions by e-mail to, or by mail to:

Department of Developmental Services
Community Services Division
1600 9th Street, Room 320
Sacramento, CA 95814 (CMS/HCBS Website)


For any questions/concerns, please contact HCBS Specialist Sonja Chapman at or 818-534-5034.


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