SADC HCBS Compliance Document Library

MLTC Policy 21.05

Description: New York State DOH Division of Long-Term Care policy which provides information and resources for MLTC plans regarding the CMS HCBS Final Rule.

Release Date: 12/03/2021

Document(s):

Title 9 CRR-NY 6654.20

Description: A compilation of codes, rules, and regulations to establish minimum requirements for the administration and operation of social adult day care and for the oversight and other responsibilities of area agencies.

Release Date: 07/31/2021

Document(s):

Local Law 9 - Article 49

Description: An unofficial copy for illustrative purposes only of: Article 49 of the Public Health Law regarding Utilization Review and External Appeal.

Release Date: 03/2021

Document(s):

MLTC Policy 15.01a: REVISED Social Adult Day Care and MLTC: Implementation of New Social Adult Day Care Certification Process

Description: This policy document serves as update to MLTC Policy 15.01, which was issued on May 8, 2015.

Release Date: 05/21/2015

Document(s):

Local Law 9 of 2015

Description: Local Law 9 of 2015 requires all SADCs operating in New York City to register with the Department for the Aging ("NYC Aging") and authorizes NYC Aging to regulate SADC compliance with all relevant laws and rule.

Release Date: 12/17/2014

Document(s):

MLTC Policy 13.14: Questions Regarding MLTC Eligibility

Description: The purpose of this policy is to further clarify programmatic eligibility for enrollment in managed long term care plans. Some MLTC plans have sought greater clarification from the Department as a result of the request to review the use of social day care services for their enrollees.

Release Date: 05/30/2013

Document(s):

MLTC Policy 13.11: Social Day Care Services Q&A

Description: A Social Adult Day Care Services question and answer to clarify the Department´s recent policy directives concerning Social Day Care services and Managed Long Term Care (MLTC.

Release Date: 05/08/2013

Document(s):

MLTC Policy 13.05: Social Daycare Services Questions and Answers

Description: This document answers questions that the Department has received since the release of MLTC Policy #13.03 regarding social daycare services.

Release Date: 02/28/2013

Document(s):

MLTC Policy 13.03: Community Based Long Term Care Services

Description: This policy provides an operational definition of community based long term care (CBLTC) services

Release Date: 01/25/2013

Document(s):

SADC/SADS Person Centered Service Plan Template

Description: HCBS Final Rule compliant person-centered planning template. The ‘Personal Care Preference’ section of the template has been expanded to include questions which specify whether the participant has a preference of who provides their care, whether the SADC can accommodate the preference and, if the SADC is unable to accommodate, if the member was notified and offered the option of switching to another SADC who can accommodate the preference.

Release Date: 10/11/2024

Document(s):

SADC HCBS Community Integration

Description: The purpose of this webpage is to provide Social Adult Day Care (SADC) providers with guidance related to community integration requirements, which is an integral part of the Centers for Medicare and Medicaid (CMS) Home and Community Based Services (HCBS) Settings Final Rule. SADCs should ensure their policies and procedures are aligned with the guidance provided.

Release Date: 10/11/2024

Document(s):

MLTC Plan SADC Contracting Oversight Roles & Responsibilities
Description: The purpose of this page is to provide Managed Long Term Care (MLTC) plans with an overview of the roles and responsibilities for contracting with and providing oversight of Social Adult Day Care (SADC) centers in New York. This webpage covers the New York State Office of Aging (NYSOFA) regulations pertinent to the contracting and oversight of SADCs.
Release Date: 10/11/2024
Document(s):

Guidance on Home and Community Based Services Compliance Review Questions

Description: The purpose of this webpage is to provide guidance to SADC sites regarding compliance with Centers for Medicare and Medicaid (CMS) Home and Community Based Services (HCBS) Settings Final Rule standards and other state and federal requirements, such as annual certification through OMIG and registration with NYC Aging (SADC sites in NYC only).

Release Date: 09/05/2024

Document(s):

SADC HCBS Compliance Review Roles and Responsibilities

Description: This webpage provides an overview of the SADC HCBS compliance review process and the roles and responsibilities of the New York State Department of Health (DOH), Managed Long Term Care (MLTC) plans, and Social Adult Day Care (SADC) sites within each phase of the review.

Release Date: 07/29/2024

Document(s):

Suggested SADC Site Evaluation Tool for MLTC Plans

Description: The Suggested SADC Site Evaluation tool is an example tool for MLTC plans to utilize when performing annual SADC site assessments. If an MLTC plan intends to utilize their own site evaluation tool, it must contain all components from the DOH suggested tool. The suggested tool guide is a companion to the suggested tool which, along with the video tutorials, provides additional information related to the use of the suggested tool and guide.

Release Date: 07/09/2024

Document(s):

Summary of Changes to the SADC Site Evaluation Tool

Description: This document is a summary of the changes that have been made to the SADC Site Evaluation Tool.

Release Date: 07/09/2024

Document(s):

SADC HCBS Compliance Verification FAQs v_2.0

Description: A compilation of frequently asked questions for SADC sites relating to HCBS settings final rule compliance.

Release Date: 02/22/2024

Document(s):

MLTC Plans HCBS Compliance Verification FAQs_v2.0

Description: A compilation of frequently asked questions for MLTC plans relating to HCBS settings final rule compliance.

Release Date: 02/22/2024

Document(s):

Webinar: SADC HCBS Compliance Process CY2024 Reviews

Description: 12/7/2023 webinar with MLTC plans to recap the HCBS compliance review process, discuss identified issues from the 2022-2023 reviews, and discuss best practices for bringing SADC sites into compliance with the HCBS setting final rule.

Release Date: 12/07/2023

Document(s):

2023.07 PCSP HCBS Final Rule Implementation Webinar

Description: An in-depth presentation on PCSP process, requirements, ongoing monitoring and quality assurance, roles and responsibilities, and the new PCSP template.

Release Date: 07/2023

Document(s):

Suggested SADC Site Evaluation Tool Webinar FAQs v1.0

Description: This document contains questions and answers from the webinar for MLTC plans to provide guidance on how to use the suggested tool created by NYS DOH to evaluate initial and annual site visits to SADC facilities and ensure the site meets NYS and Federal Requirements.

Release Date: 10/27/2022

Document(s):

Themes Identified During CMS' Heightened Scrutiny Site Visits-November 2022 Video

Description: An overview of CMS' heightened scrutiny site visit process-video recording.

Release Date: 11/16/2022

Document(s):

HCBS SADC Compliance Requirements for MLTC Service Area Expansions and Mergers

Description: DOH letter to MLTC plan administrators to remind them of the SADC requirements and resources available to oversee and monitor SADCs including SADC sites within a plan's service area expansion and merging MLTC plans and acquisitions.

Release Date: 06/30/2022

Document(s):

Fact Sheet and Timeline

Description: This webpage is a summary of the key provisions of the HCBS Final Rule for SADC.

Release Date: 12/03/2021

Document(s):

CY2024 SADC Preliminary Information Checklist

Description: A comprehensive checklist of documents for MLTC plans to be used with their contracted SADC sites when submitting documents to demonstrate compliance with the HCBS Final Rule.

Release Date: 01/05/2024

Document(s):