The CMS Home and Community Based Services (HCBS) rule that was finalized in January 2014 continues to be implemented, including through the approval of Statewide Transition Plans (STPs). Initially, it was expected that approvals would come promptly after a state submitted its plan to CMS, and that necessary transition activities would be completed by March 2019. However, the approval process has not worked as quickly as originally planned for, and CMS has extended the transition deadline to March 2022 (though plan approvals are still expected prior to March 2019). (See WICs article, “HHS Letter Sets Forth Framework for Medicaid Cost-Sharing Provisions, Extension of HCBS Rule Implementation,” March 19, 2017.) ANCOR met with the Director of the Center for Medicaid and CHIP Services Brian Neale last week to discuss the rule and the ongoing transition process.
A good source of state-specific information continues to be HCBSadvocacy.org, which is maintained by the Association of University Centers on Disabilities (AUCD). Additionally, CMS has a webpage dedicated to STPs that includes links to proposed plans, CMIA (Clarifications and Modifications required for Initial Approval) letters, and initial or final approvals as applicable.
To date, only three states have received final approval. More than half of states (thirty-one) have now received initial approval. The approval list as it currently stands is below: