HCBSGuide Service Agreement

Overview

This Service Agreement outlines the boundaries of your project, which will not begin until you have provided us with the basic information relevant to your HCBS application. Your project officially begins once HCBSGuide has received your basic information and you have signed this Service Agreement.

What’s Included — HCBS Policies & Procedures Manual ($2500)

HCBSGuide will deliver a professionally developed manual that includes all required HCBS compliance domains, operational standards, and audit‑ready documentation. Delivery timeline:

• First draft delivered within 2 weeks of receiving your basic information and signed agreement
• Revisions delivered within 1 week of each request

Your P&P Manual includes:

• Organizational Standards
• Fiscal Accountability
• Governing Body Requirements
• Quality Improvement Processes
• Personnel & Training Requirements
• Intake & Admission Procedures
• Confidentiality & Records Protection
• Incident Reporting Standards
• Medication Management
• Appeals & Grievances
• Abuse Recognition & Reporting
• Person‑Centered Planning
• Restrictive Interventions
• Documentation of Services
• HCBS Settings Rule Compliance
• Member Handbook
• Employee Handbook
• Financial Models & Revenue Projections
• Implementation Timeline
• Annual Policy Review & Audit Checklist

Service Model Selector

1. Select Your Residential Service Model

Choose one primary model for your Policies & Procedures Manual:

• SCL Group Home (3 members)
  • ☐ Without Day Services
  • ☐ With Day Services
• Host Home (2 members)
  • ☐ Without Day Services
  • ☐ With Day Services

2. Optional Add‑On Service Models

Select any additional models below:

• ☐ Add SCL Group Home Model — $500
• ☐ Add Host Home Model — $500
• ☐ Add With/Without Day Services Variants — $500
• ☐ Add Custom Hybrid Model — $500

3. Custom Service Model Description

If you selected “Custom Hybrid Model,” describe your intended structure:

Client Description:

Revision Policy

Free Revisions Include:

• Correcting HCBSGuide errors
• Small text edits
• Formatting adjustments
• Minor clarifications

Billable Revisions Include:

• Changing your Service Model after the first draft
• Adding new Service Models
• Adding new financial models
• Adding new compliance sections
• Adding new documentation templates
• Adding new operational structures

Each billable revision: $500

Delivery Timeline

Your project begins when:

• You submit your basic information
• You select your Service Model
• You sign the Service Agreement

Delivery Schedule:

• First Draft: 2 weeks
• Revisions: 1 week per revision cycle
• Rush deadlines imposed by banks or state agencies are not guaranteed

Payment

You may choose one of the following payment options:

• Pay $2500 in full at project start
• Pay 50% ($1250) at project start and 50% upon completion

Upon completion, HCBSGuide will provide PDF evidence of the beginning, middle, and end of your completed Manual before final payment.

Additional Services After First Draft

• Add SCL Service Model — $500
• Add Host Home Service Model — $500
• Any other significant Service Model changes — $500

These agreements apply to Client revision requests as well as any requests from state HCBS divisions or banks.

Agreement

I understand that:

• My Service Model defines the scope of work
• Small text edits are free
• Service Model changes are new deliverables
• Additional Service Models cost $500 each
• HCBSGuide sets the timeline for deliverables

Client’s Signature: ____________________________ Date: __________

Client’s Name Printed: __________________________