Health Care Alert: The Centers for Medicare and Medicaid Services Issues Home and Community-Based Settings Toolkit

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On March 20, 2014, the Centers for Medicare and Medicaid Services (CMS) posted a “Transition Plan Toolkit” to assist states in developing their Home and Community-Based Settings (HCBS) 1915(c) waiver and section 1915(i) state plan amendment or renewal application(s) so that they comply with new requirements in the HCBS Final Rule, released earlier this year.  The toolkit includes:

Absent from the toolkit was technical assistance or guidance regarding non-residential settings.  However, according to CMS, they are currently developing additional information for states with regard to non-residential settings for HCBS participants.  In the comments accompanying the regulations, subregulatory guidance was referenced in several areas: adult day and prevocational services, the process of operationalizing person centered planning, and issues associated with a client’s right to refuse. We will update you on any additional guidance that is issued.

The toolkit can be located at http://www.medicaid.gov/HCBS.  If you have any questions, please contact Suzanne Scrutton at 614.464.8313 or Maureen Corcoran at 614.464.5461.