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Developmental Disabilities Administration
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August 14, 2023
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Clients and Stakeholders,
In 2014, the Centers for Medicare and Medicaid Services implemented guidelines requiring states to ensure individuals receiving long-term services and supports through Home and Community-Based Services waivers, Community First Choice State Plan programs, and Roads to Community Living Project have access to the community to the same degree that everyone else in the community does.
The rules apply to all settings where Medicaid recipients live and/or receive home and community‑based services.
Videos
Overview Video: This video explains why and where the HCBS Settings Rules are in place.
What to Expect Video: This video explains what you can expect from your service providers.
Modifications Video: This video explains what must happen in order for any changes to be made to your rights under the Settings Rules.
Click this link to view the entire video series.
What’s new?
These are not new rules. DDA is making changes to our processes to make sure that these rules are followed and your rights are safeguarded. We are sharing information, resources and trainings with DDA staff, providers, individuals receiving our services, and stakeholders.
What can you do?
- Learn about these rules and your rights.
- Let your Case Manager know if you feel that your rights are not being respected. You can visit their office, make a phone call or send an email. Your case manager must respond to you within two business days to help address the concern. If you don't know who your case resource manager is, you can look online at dshs.wa.gov/dda/find-dda-office.
- You can ask a question or file a complaint online at https://www.dshs.wa.gov/dda/how-file-complaint-dda.
- If you have a concern about abandonment, abuse, neglect, exploitation, or financial exploitation, you can call 1-866-END-HARM or 1-866-363-4276.
Resources
- Brochures:
- Integrated Settings Training for providers.
- You can read more about these rules:
Have questions?
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Contact us if you have a question about these rules.
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