Disability Employment: Employment 1st Maryland UPDATE

From the Maryland Developmental Disabilities Administration: Back in June of this year, DDA regional office staff began on-site validation of non-residential site self-assessments that were completed by all DDA providers back in late 2016. Non-residential sites visited have included both Day Habilitation and Vocational. Surveyors used a non-residential site validation tool that closely followed information asked in the original self-assessments.
The non-residential site validation tools were designed to determine whether a particular licensed site is currently in compliance with the Centers for Medicare and Medicaid Services (CMS) final rule, and to provide potential recommendations on what action items a provider needs to take in order to be compliant. This rule was issued to ensure that Medicaid’s Home and Community-Based Services (HCBS) provide full access to the benefits of community living and offer services in the most integrated settings.
The DDA must complete approximately 400 non-residential site visits. To date, regional offices have completed most of these visits. The number of non-residential site visits that still need to occur, have been broken down by regions:
·        Southern Region: Two
·       Western Region: Eight
·       Eastern Shore Region: All site visits have been completed
·       Central Region: Forty-nine
As new or existing providers apply to open new site-based services (Day Habilitation or Career Exploration: Facility-Based), DDA will use the same tool to determine compliance, prior to approval. This also holds true for existing providers wishing to provide site-based services under the new Community-Supports Waiver.
Once a visit has been completed, providers will receive a copy of the validation tool, along with a letter outlining compliance or non-compliance. If a site is currently found not in compliance, the letter will include recommendations, as well as further guidance if needed. The DDA will continue to work with providers to identify appropriate technical assistance and resources in order to comply with the final rule by 2021.
The next phase of site validations will begin in November, as DDA regional staff begin residential site validation. A formal memo outlining the process, as well as guidance, will go out to providers and stakeholders in the coming weeks.


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External Resources

Maryland Developmental Disabilities Administration

Administration for Community Living

Pathfinders for Autism

Disability Scoop

Depression and Bipolar Support Alliance

National Center for PTSD