KDADS needs to know specifically who to contact regarding the HCBS Setting Final Rule at each HCBS provider organization/agency. Please use this form to indicate who is the most appropriate representative at your organization/agency to receive the provider self-assessment and follow-up communications; this individual will be responsible for making sure that self-assessments are completed for each individual HCBS site (i.e., location) your organization/agency either owns or operates.