Home & Community-Based Services (HCBS) Final Rule

In 2014, the Centers for Medicare and Medicaid Services (CMS) published the HCBS Final Rule related to Medicaid–funded Home and Community–Based Services (HBCS). This rule implements a number of changes to home and community–based waivers, and imposes new requirements on what is considered an appropriate home and community–based setting for all the authorities in its scope.

The links below contain the most recent amended HCBS Final Rule Statewide Transition Plan (STP), to come into compliance with the federal regulation, that have been submitted to CMS. The first link is to the HCBS STP that received initial approval from CMS in November of 2018, with the approval letter and feedback for final approval letter beneath. The additional resources below help provide an overview of the Statewide Transition Plan, the final rule, our public comment process, and amendments made to the Plan.

Additional Resources: