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People who use home and community services deserve to have positive control over their lives. This program will teach the Open Doors participants skills to increase self-advocacy during person-centered planning process after transitioning from a facility to the community. The federal Home and Community Based Services (HCBS) final rule supports individuals to have full access to the benefits of community living and receive services in the most integrated setting. The HCBS Final Rule established many new standards regarding Person-Centered Planning (PCP), such as requiring:

  • A person-centered service plan for every person who receives Medicaid-funded HCBS – 42 CFR 441.301(c)(1)
    • HCBS stands for Home and Community Based Services = home care and supports

  • The Person-Centered Plan requirements are included in Section 2402(a) of the Affordable Care Act.
    • This section of The Affordable Care Act ensures that the state has systems in place that support the choices and needs of those of you who use Home and Community Based Services. There is an increased importance to maximize independence and self-direction.

HCBS Rule Person Centered Planning Standards:

person centered planning


Person Centered Planning Coaching helps guide individuals in being more self-sufficient by using a curriculum to guide both the coach and the participant through person centered planning. The curriculum incorporates goal-oriented questions; uses person centered skills and person centered discovery conversations to explore goals and future planning; person centered conversations to yield an understanding of supports and services in the home as opposed to an institutionalized setting; lastly, there is a summary and commitments to action for the participant. This is a voluntary program, and anyone can stop at any time.

*For more details regarding the HCBS rule, please go to:

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