Preparing for the Upcoming Changes to Level 3 Facilities: What You Need to Know
Significant changes are on the horizon for Level 3 residential facilities and now is the time to prepare.
Read more here: https://www.dds.ca.gov/wp-content/uploads/2024/12/D-2024-RateReform-011_ResidentialServices.pdf
The rate reform currently in place offers increased funding to improve program quality for most facilities, while upcoming consultant requirements set for 2026 will transform the way facilities provide support. Each facility must find and pay for the consultation hours. Regional Center and other funding sources do not pay for consultants. Here’s what you need to know to stay ahead of these changes and ensure your facility thrives.
A common question is who locates and pays for consultants. While DDS requires the consultant hours, the facility owners are responsible for identifying and paying the consultants.
Do you know how many consultation hours will be required for your facility in 2026?
Take our quiz to find out: TAKE THE QUIZ
What Are the Key Changes?
Rate Reform
The increased rate is already available for most Level 3 facilities. This funding is designed to help programs improve their services and prepare for upcoming compliance requirements.
To access the increased rate, facilities need to contact their regional center and complete the necessary rate increase forms.
Consultant Requirements (2026)
Starting in 2026, Level 3 facilities must document at least 8 hours of consultant services per resident, per 6 months. These hours can be shared across various consultants, such as:
BCBAs for behavior support, skill building (e.g., activities of daily living, safety), and plan development.
RNs for medical oversight and monitoring.
Psychologists for mental health and wellness support.
We have a planning guide for facilities to start planning their consultant needs. Find it HERE
How to Leverage the Rate Reform Now
The increased rate is more than just additional funding—it’s an opportunity to lay the groundwork for long-term success. Here’s how to use it strategically:
Hire Consultants Early: Building relationships with BCBAs, RNs, and psychologists now allows your facility to test workflows and adapt to the consultant model before compliance becomes mandatory.
Train and Prepare Staff: Use the increased rate to provide staff with training tailored to their roles and responsibilities, focusing on areas like implementing behavior plans, safety protocols, and supporting skill-building activities.
Plan for Comprehensive Support: Ensure consultants are equipped to work directly with staff, offering guidance, coaching, and resources to enhance their readiness for upcoming requirements.
Steps to Prepare for 2026 Requirements
Assess Resident Needs
Review each resident’s Individual Program Plan (IPP) to identify areas that require consultant support, such as behavioral interventions, skill-building goals, medical oversight, or safety planning.
Develop a Consultant Plan and Budget
Calculate the total hours needed for your facility (e.g., 4 residents × 8 hours = 32 hours per 6 months).
Assign hours strategically across consultants based on resident needs and consultant expertise.
Engage Consultants to Support Staff
Choose consultants who can work directly with staff, offering hands-on training, coaching, and real-time feedback to build confidence and competence in implementing strategies.
Track Progress
Implement a system to document consultant hours and ensure compliance. Start practicing now to work out any challenges before the requirement becomes official.
Common Concerns and How to Address Them
Cost Concerns: While the increased rate offsets the cost of hiring consultants, it’s essential to structure hours efficiently. Sharing hours across consultants ensures every resident gets the support they need without exceeding your budget.
Finding the Right Consultants: Look for professionals with experience in residential care and a collaborative approach. Conduct trial periods or pilot projects to evaluate their fit with your program.
Staff Readiness: Consultants should play a central role in supporting and preparing staff. This includes providing clear guidance, practical strategies, and ongoing coaching to ensure staff feel confident in their roles and responsibilities.
Next Steps for Facility Owners
Don’t wait until the last minute to prepare for these changes. Take action now by:
Contacting your regional center to complete the rate increase forms and access additional funding.
Leveraging the increased rate to hire and onboard consultants.
Engaging consultants who can directly support and train staff to meet new expectations.
Reviewing and updating resident plans to align with consultant support and program goals.
By starting early, you’ll not only ensure compliance but also improve outcomes for your residents and position your facility as a leader in quality care.
Ready to plan for the upcoming changes for your facility?
Contact us today to learn how Burgos Behavior's online data systems and expert training can support your facility and staff.
You can call or text us at 209-457-7154, email us at chelsea@burgosbehavior.com, or book a time to talk by clicking below:
