On March 17, 2014, CMS issued final regulations regarding requirements for home and community-based settings in Medicaid [42 CFR 441.301 (c) (4)- (6)]. These final regulations require the State to submit a transition plan at the time of an HCBS Waiver Reneral that sets forth actions the State will take to bring the waiver system into full compliance with the HCBS Settings standards during an up to five-year time period (i.e., full compliance required by March 2019).
This ADM and the HCBS Settings Assessment Tools were developed in collaboration with the Regulatory Reform/HCBS Settings Stakeholder Steering Committee.