HCBS Requirement: Door Locks in Residential Facilities

The Wisconsin Department of Health Services (DHS) has released a document regarding home and community-based service setting requirements (HCBS). Care Wisconsin wanted to share this communication with you.


In 2014, the Centers for Medicare and Medicaid Services (CMS) released new federal requirements for home and community-based settings.

Under these new requirements (which became effective March 17, 2014), DHS must ensure that residential providers meet the home and community-based services (HCBS) setting requirements. DHS Division of Medicaid Services has been conducting reviews of Wisconsin’s Medicaid-funded long-term care residential settings for mandatory compliance with this rule.

In the process of these reviews, DHS received numerous questions concerning the requirement for door locks. The FAQ provides guidance to residential providers concerning the requirement in accordance with 42 C.F.R., Part 441.

Door Lock Requirements for Adult Long-Term Care Residential Settings:

The Department of Health Services (DHS) has posted the document at the following link: “Frequently Asked Questions (FAQs) about Door Locks in Adult Long-Term Care Residential Settings.

The FAQ in the link provided by DHS is a helpful tool in understanding the Door Lock requirements and expectations of you as the provider. We encourage you to please take a few moments to review the FAQ.

For any additional questions regarding the implementation of Door Locks or HCBS setting requirements, you may contact the HCBS settings rule staff at 1-877-498-9525 or send an e-mail to dhshcbssettings@dhs.wisconsin.gov

Best Regards,

Nicole Pagliaro Director, Provider Network Management

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