that is owned, co-owned, leased or rented by a third party that has a direct or indirect financial relationship with a provider of Home and Community-Based Services or. that is owned, co-owned, leased or rented by a provider of Home and Community-Based Services (HCBS) providing services onsite or.Definitions:Īn agreement between a provider and an individual that outlines the expectations and responsibilities for individuals who reside in provider-owned or controlled Community Integrated Living Arrangements (CILA), Community Living Facility (CLF), and Child Group Home (CGH) settings.Ī provider-owned or controlled setting is a physical setting in which the individual resides For individually controlled units, tenants are expected to sign leases with landlords. For settings in which landlord tenant laws do not apply, the State must ensure that a lease, residency agreement or other form of written agreement will be in place for each HCBS participant, and that the document provides protections that address eviction processes and appeals comparable to those provided under the jurisdiction's landlord tenant law. Specifically, the unit or dwelling is a specific physical place that can be owned, rented, or occupied under a legally enforceable agreement by the individual receiving services, and the individual has, at a minimum, the same responsibilities and protections from eviction that tenants have under the landlord/tenant law of the State, county, city, or other designated entity. For provider-owned or controlled residential settings that serve individuals who are enrolled in a DD Waiver program, additional conditions specified in 42 CFR §441.301(c)(4)(vi)(A) through (E) must be met. The Federal Centers for Medicare and Medicaid Services has determined that Home and Community-Based Services (HCBS) settings must have all of the qualities specified in 42 CFR §441.301(c)(4)(i-v), based on the needs of the individual as indicated in their Personal Plan. This Information Bulletin outlines the requirement for Developmental Disability Home and Community Based Services (HCBS) Waiver residential providers to ensure a residency agreement with the individual and guardian, if applicable, when the individual resides in a provider-owned or controlled setting.
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