Utah Home and Community-Based Services (HCBS) Provider Policy Manual

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The Comprehensive Policy and Procedure Manual for Home and Community-Based Services (HCBS) Provider Agency serves as a foundational guide for HCBS providers, ensuring compliance with federal regulations, including the CMS Home and Community-Based Services Settings Final Rule (42 CFR §441.301), Medicaid Waiver requirements, and state-specific standards. This manual outlines operational policies designed to uphold person-centered care, community integration, and quality assurance. It addresses critical areas such as regulatory compliance, provider certification, service delivery infrastructure, care coordination, emergency preparedness, and staff development. By integrating both federal and state guidelines, this manual helps agencies maintain Medicaid audit readiness while delivering high-quality services that are tailored to the individual needs of participants. Additionally, it emphasizes the use of electronic documentation systems that meet HIPAA security standards and encourages collaboration across health homes and managed care entities. This comprehensive framework ensures that HCBS providers deliver effective, compliant, and participant-focused care, fully aligned with regulatory expectations.
Comprehensive Policy and Procedure Manual Outline for Home and Community-Based Services (HCBS) Provider Agency