The Information Letter No. 2022-59 informs Deaf Blind with Multiple Disabilities (DBMD) program providers about upcoming assessments of assisted living facility (ALF) settings for compliance with the federal Home and Community Based Services (HCBS) Settings Rule. The HCBS Settings Rule requires residential settings, including ALFs, to have certain qualities that support individual choice, autonomy, and access to the community. The federal deadline for compliance is March 17, 2023. The assessment process, which began in November 2022, includes on-site visits, interviews with administrative and direct care staff, and a review of policies, procedures, and other relevant documentation. Nursing homes and healthcare facilities need to ensure they meet the requirements of the HCBS Settings Rule to maintain Medicaid funding. They should prepare for assessments by reviewing their policies and practices and making any necessary changes to comply with the rule.

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