Home and Community-Based Services (HCBS) Settings Transition
The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home and Community-Based Services (HCBS). The purpose of these regulations is to ensure that individuals 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.
|News and Announcements
Health and Disability (HD), Physical Disability (PD) and Elderly Waiver Amendments: The Iowa Medicaid Enterprise (IME) is preparing to submit the HD, PD and Elderly waiver renewal applications to CMS. The renewal applications incorporate the person centered planning requirements, setting requirements and transition plan; and the CMS services definitions for Supported Employment, Prevocational Services and Day Habilitation. Access the HD, PD and Elderly waiver amendments .
Intellectual Disability (ID) and Brain Injury (BI) Waiver Amendments: The Iowa Medicaid Enterprise (IME) is preparing to submit the ID and BI waiver renewal applications to CMS. The renewal applications incorporate the person centered planning requirements, setting requirements and transition plan; and the CMS services definitions for Supported Employment, Prevocational Services and Day Habilitation. Public comments for both the ID and BI waiver amendments will be accepted through November 30, 2014. Access the ID and BI waiver amendments . Comments should be submitted in writing to: HCBSsettings@dhs.state.ia.us .
Update November 20, 2014:
The BI Waiver Renewal Appendix A has been updated and the Quality Improvement Strategy added on the Waiver Amendment webpage therefore the BI Waiver Renewal Comment Period has been extended until close of business on December 20, 2014.
Intellectual Disability (ID) Waiver Transition Plan: The transition plan for the Intellectual Disability (ID) Wavier was submitted to the Centers for Medicare and Medicaid Services (CMS) on August 27, 2014. The plan incorporates changes based on the public comment period in May 2014. The department’s response to all public comments and additional guidance documents were submitted with the plan.
ID Waiver Transition Plan (August 2014)
ID Waiver Summary of Transition Plan Changes (August 2014)
Responses to Public Comments (August 2014)
Waiver Draft Transition Plans for Six Other Waivers and the Statewide Transition Plan: The IME is preparing to submit draft transition plans for the remaining six waiver programs as well as the statewide transition plan. Public comments on these plans will be accepted through November 30, 2014. Access the draft transition plans . Comments should be submitted in writing to: HCBSsettings@dhs.state.ia.us .
- Home and Community Based Services Settings Transition Public Meetings: The Iowa Department of Human Services held public forums on upcoming changes to the Home and Community Based Services (HCBS) settings during November. These webinars provided an overview of the federal HCBS Settings regulations, the transition plans that have been developed to bring Iowa into compliance with the regulations, and gave attendees an opportunity to submit questions and comments about the transition plans. Access the webinar presentation slides .
Other relevant documents on the new HCBS regulations
Home and Community Based Services for Members Webpage
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