Home- and Community Based Services Final Rule Statewide Transition Plan

INARF was informed that the state has published a webinar, introductory PowerPoint and copy of the non-residential survey on their in.gov website. They do indicate that the survey will be opening tomorrow and will be sent to provider’s NOA email address.

​In January 2014, the Centers for Medicare & Medicaid Services (CMS) published regulations to better define the settings in which states can provide Medicaid Home- and Community-Based Services (HCBS). The HCBS final rule became effective March 17, 2014. The HCBS settings final rule, along with additional guidance and fact sheets, is available on the CMS Home- and Community-Based Services site.

The purpose of these regulations is to ensure that members receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources and receive services in the community to the same degree as individuals who do not receive HCBS. CMS expects all states to review current HCBS programs and to develop a transition plan providing an assessment, strategies and timelines for compliance with the new rules.

The programs currently under review include 1915(c) HCBS Waivers and 1915(i) HCBS State Plan programs operated by the following divisions within the Family and Social Services Administration.