CMS Regulatory Requirements for Home and Community Based Settings

DirectCourse Crosswalks to the HCBS Regulatory Requirements:


The Centers for Medicare and Medicaid Services (CMS) is engaged in an ongoing effort to improve quality management expectations for providers of Home and Community Based Services (HCBS).

As part of this effort they have released new service requirements effective March, 2015.

Home and community-based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own home or community. These programs serve a variety of targeted populations groups, such as people with mental illnesses, intellectual or developmental disabilities, and/or physical disabilities.

How DirectCourse Can Help States and Providers support people with:

  • Intellectual or developmental disabilities

The Research and Training Center on Community Living (RTC/CL) at the University of Minnesota has created this tool to show how DirectCourse: College of Direct Support (CDS) aligns with the new CMS HCBS requirements. This easy to follow crosswalk can help agencies implement competency-based training to direct support professionals in order to meet and comply with these new HCBS regulatory requirements.

The College of Direct Support online training will equip direct support professionals with the skills and competency necessary to provide quality supports to individuals with intellectual and developmental disabilities. This curriculum not only supports efforts to meet the regulatory requirements it is designed to exceed those requirements and further builds upon the goals of individuals to live self-determined lives in the community.

To view the CDS crosswalk, click here!

  • Physical disabilities

The Community Living Policy Center (formerly the Center for Personal Assistance Services) at the University of California, San Francisco has created this crosswalk for the College of Personal Assistance and Caregiving (CPAC).  This curriculum gives personal care assistants, home care providers, and family caregivers the skills to better meet the needs of people with physical disabilities and older adults. 

To view the CPAC crosswalk, click here!

  • Mental illnesses

The College of Recovery and Community Inclusion (CRCI), part of the DirectCourse suite of online curricula, was created for mental health practitioners and is designed to give staff the attitudes, knowledge and skills they need to support people with mental health conditions to live rich, independent lives in the community.  CRCI is developed by the Temple University Collaborative on Community Inclusion of Individuals with Psychiatric Disabilities.

To learn more about CRCI, click here!


If you have any questions about  how you can bring DirectCourse to your state, please contact us.

Learn more about these HCBS Regulations – click here to download “Meeting the Demands of New HCBS Requirements With Competency-Based Staff Training”

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