Employment and Community Integration Training and Technical Assistance Center


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Technical Assistance and Provider Transformation

The Employment and Community Integration Training and Technical Assistance Center provides TA to providers currently providing services to people with disabilities.  The primary goals of the TA and Provider Transformation include: 

  • Identify and train Utah subject matter experts (USME) who can mentor other providers through the transformation process.

  • Provide technical assistance that  promotes a sustainable pathway for Utah providers to achieve HCBS settings rule compliance.

  • Increase the number of persons supported by DSPD who are engaged in competitive integrated employment and community life engagement.

  • Reduce the reliance on facility-based services across the Utah Provider network while simultaneously increasing the focus on community-life and employment services. 


Training and Technical Assistance Areas

      CMS Settings Rule

      The Center for Medicare and Medicaid Services (CMS) issued the Home and Community Based Waiver Services final settings rule (CMS2249-F/2296-F)in 2014.  The final rule was designed to enhance the quality of HCBS programs and increase opportunities for individuals with disabilities to have meaningful access to integrated community settings.  The settings rule promulgated specific regulatory changes that states must implement before the 2022 to continue to receive Medicaid funding.  Specifically, all home and community-based settings must meet a number of qualifications including: (a) the setting be integrated in an support full access to the greater community, (b) the setting is selected by the individual among service options, (c) the setting ensures individual rights and privacy, dignity and respect, and freedom for coercion and restraint, and (d) the setting optimizes autonomy and independence in making life choices.   Click on the links below for more information regarding the settings rule.