Medicaid HCBS Final Settings Rule Residential Self-Assessment |
Residential Self-Assessment
PLEASE DO NOT INCLUDE PARTICIPANT NAMES or IDENTIFYING INFORMATION!
Please note that this assessment is to be filled out based on the site itself, not the participants moving in. To successfully complete the self-assessment process, agencies must fill out the applicable DD Self-Assessment Survey 15 business days prior to beginning services in the setting.
Every federal question in the assessment must have comments entered. Please be as detailed as possible. Do not copy and paste the examples we provided - if you do, we will return the assessment to be remediated. The boxes are limited to 1000 characters.
You are also encouraged to submit supplemental evidence if applicable. This may be submitted in the same fashion as outlined above. The type of supplemental evidence that can be submitted can vary from question to question but typically are items like: event/activity calendars, photographs, monthly meeting notes, etc.
DD REVIEW OF ASSESSMENT AND DETERMINATION OF COMPLIANCE
• Completed assessments will be reviewed by DDD staff within 15 business days to determine whether the DD agency provider is in compliance or if an on-site visit is needed.
• DDD Staff will issue a response (notification letter) to the agency provider via email.
• When an on-site visit is deemed necessary, DDD staff will notify the agency provider via phone to schedule the on-site visit.
• When the setting is found to be “fully compliant,” the agency provider is permitted to begin providing services in that setting.
• When the setting is found to be “partially compliant,” the agency provider will be required to correct the identified issues and submit evidence of remediation to DDD staff. The agency will not be permitted to begin services in the setting until the setting is deemed “fully compliant.” Service authorizations will not be approved until the agency receives a fully compliant determination for that site, and must be enrolled with our provider enrollment broker, Maximus.
• Completed assessments will be reviewed by DDD staff within 15 business days to determine whether the DD agency provider is in compliance or if an on-site visit is needed.
• DDD Staff will issue a response (notification letter) to the agency provider via email.
• When an on-site visit is deemed necessary, DDD staff will notify the agency provider via phone to schedule the on-site visit.
• When the setting is found to be “fully compliant,” the agency provider is permitted to begin providing services in that setting.
• When the setting is found to be “partially compliant,” the agency provider will be required to correct the identified issues and submit evidence of remediation to DDD staff. The agency will not be permitted to begin services in the setting until the setting is deemed “fully compliant.” Service authorizations will not be approved until the agency receives a fully compliant determination for that site, and must be enrolled with our provider enrollment broker, Maximus.
If the web page is left open, you may come back to the survey as many times as you would like until you click "Done" at the end of the Survey. If the web page is closed prior to completing the survey you will NOT be able to return to the assessment
If you have questions about how to fill out the assessment, or require technical assistance, please send an email to ashley.knudtson@nebraska.gov.