10 Federal Rules

Federal Regulations #1-5 apply to all HCBS service codes --

Click on any of the Images below associated with Federal Regulations for access to incredible videos!!!

Click on each image for a link to a YouTube video that explains in English (Other languages linked below) each requirement in plain language with great examples designed for individuals served, service providers, their staff, Regional Center Staff and Community Partners.

Additional Languages to come. ASL Videos are currently linked after the pictures.

Federal Regulation #1

The setting is integrated in, and supports full access of individuals with disabilities to the greater community to the same degree of access as their non-disabled peers.

Federal Regulation #2

The setting is selected by the individual from among setting options including non disability specific setting and an option for a private unit in a residential setting.

Federal Regulation #3

The setting ensures an individual’s right of privacy, dignity and respect, as well as freedom from coercion and restraint.

Federal Regulation #4

The setting optimizes, but does not regiment, individual initiative, autonomy and independence in making life choices, including but not limited to: daily activities, physical environment, and with who to interact.

Federal Regulation #5

The setting facilitates individual choice regarding services and supports and who provides them.

Federal Regulations #6-10 apply to only provider-owned or controlled residential settings --

Federal Regulation #6

In 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.

Federal Regulation #7

Each individual has privacy in their sleeping or living unit; including doors lockable by the individual, choice of roommate if sharing unit, and the freedom to furnish and decorate their sleeping or living units within the lease or other agreement.

Federal Regulation #8

Individuals have freedom and support to control their schedules and activities, and have access to food at any time.

Federal Regulation #9

Individuals are able to have visitors of their choosing at any time.

Federal Regulation #10

The setting is physically accessible to the individual.

American Sign Language HCBS Videos - click on each link:

Click on each Rule below to watch each video:

Final Rules 1 – 5 are for ALL Providers:

#1: The setting is integrated in, and supports full access of individuals with disabilities to the greater community to the same degree of access as their non-disabled peers.

#2: The setting is selected by the individual from among setting options including non-disability specific setting and an option for a private unit in a residential setting.

#3: The setting ensures an individual’s right of privacy, dignity and respect, as well as freedom from coercion and restraint.

#4: The setting optimizes, but does not regiment, individual initiative, autonomy and independence in making life choices, including but not limited to: daily activities, physical environment, and with who to interact.

#5: The setting facilitates individual choice regarding services and supports and who provides them.

Final Rules 6 – 10 as specific to Residential Providers:

#6: In 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.

#7: Each individual has privacy in their sleeping or living unit; including doors lockable by the individual, choice of roommate if sharing unit, and the freedom to furnish and decorate their sleeping or living units within the lease or other agreement.

#8: Individuals have freedom and support to control their schedules and activities, and have access to food at any time.

#9: Individuals are able to have visitors of their choosing at any time.

#10: The setting is physically accessible to the individual.

Common Terms

In the disability world there are lots of acronyms and organizations that work together. Here is a plain language explanation of each of common terms that you will see on many of the trainings or flyers.

Common Terms.pdf

HCBS FAQ.docx

HCBS Frequently Asked Questions

HCBS has lots of components to the final rule. Here are a few of the frequent questions that are asked. The FAQ is organized by:

In General Questions
Client Related
Provider Related