Statewide Transition Plan

Click here to read more about the Statewide Transition Plan, access to CMS Fact Sheets & Trainings provided by CMS. 

Phase 3: In-Person  Monitoring Visits

The California Department of Health Care Services (DHCS) has been working with partner agencies, including the Department of Developmental Services (DDS), the California Department of Aging (CDA), the California Department of Public Health (CDPH), other entities, and public and stakeholder input to develop a multi-year Statewide Transition Plan (STP) to bring California into compliance with new rules. 

The STP covers all existing California programs that are affected by the home and community-based settings requirements, including the HCBS Waiver for Californians with Developmental Disabilities and the DDS 1915(i) State Plan program. New HCBS programs are not covered by the Statewide Transition Plan. New programs, such as the proposed Self-Determination Program Waiver, must be in compliance with the HCBS rules when they are implemented (DDS, 2021).

✔️ Phase 1: Self Assessment - Completed in August 2020

✔️ Phase 2: Validation / Remediation Process - Completed in December 2022

San Diego Regional Center (SDRC) with the direction from Department of Developmental Services (DDS) and Center of Medicaid Services (CMS), will be implementing the following procedures for monitoring of Residential and Non-Residential Providers identified by the DDS Directive. Click here the to DDS Directive.

NOTE: Since March 23, 2023 Home & Community Based Services (HCBS) Final Rule has been implemented by the federal government. HCBS monitoring and quality assurance will continue to be an ongoing process and annual review. Understanding and implementation of HCBS Final Rule means you are always working toward compliance and how to best support the individuals we serve. 

Monitoring & Corrective Action Timeline

Centers Medicaid Services (CMS) and Department of Developmental Services (DDS) are requiring the following timeline of SDRC to report in person visits to all HCBS providers identified to operate within the services listed on the Directive Enclosure. DDS is requiring for SDRC to report the following at the end of each quarter – Number of Visits, Number of Vendors found in Compliance, Number of Vendors found to be working towards Compliance (Corrective Action Requests), Number of Vendors who are issued a Corrective Action Plan (CAP), Number of Vendors who not able to comply with their CAP and Number of Vendors who are Appealing the CAP. SDRC's goal is to work with each vendor before issuing CAP. 

HCBS In Person Instructions.docx


Residential Monitoring Tool Example

Non- Residential Monitoring Tool Example

Day Programs, Employment & Adult Day Care

Wondering where your Agency Stands? 

Being in compliance means that at this point your agency  has been found to be following all of the HCBS - Final Rule Regulations. 

At times your agency maybe in "Technical Assistance" meaning that one or more of the Final Rules needs a bit more evidence or correction to be in compliance. 

Contact - if you are not sure of how to gain compliance. When you email be sure to add in your Agency Name, & Vendor.