This site is a work in progress and relies on national and state partners to help find and share information and resources. Have news or resources worth posting? Send them to hcbsadvocacy@gmail.com.

Dates and Deadlines

All states must submit to CMS a plan for transitioning their current HCBS system into compliance with the new rule by March 17, 2015. States submitting a 1915(c) waiver renewal or amendment before March 17, 2015 must include a transition plan in that submission. States then have 120 days from that submission date to submit a transition plan for the remainder of their HCBS system.

New! Hawaii STP for public comments, due September 13, 2019

On December 16, 2014, the Hawaii Department of Human Services posted a Draft Transition Plan. Comments were due January 30, 2015. On March 9, 2014 Hawaii submitted a Final Statewide Transition Plan (STP) to CMS.

See below for revised STP that is pending final approval.

State DocumentsBack to TOP

Med-QUEST Division Homepage

CMS provide additional feedback in the form of this addendum on areas where improvement is needed by the State of Hawaii in order to receive final approval of the HCBS Statewide Transition Plan (STP). PLEASE NOTE: CMS anticipates that the STP will need to go out for public comment once these changes are made and prior to resubmitting to CMS for final approval. CMS also requested the state provide a timeline and anticipated date for resubmission for final approval as soon as possible.  This feedback can be used to help craft your comments.

Revised STPs:

Initial Approval with Milestones and a Resubmission Date. This letter is the communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, the STP is sufficient, but systemic and/or site-specific assessments are not yet completed.  The response to the state will vary dependent on whether the state has or has not identified settings that are presumed to have institutional characteristics and any information the state may wish CMS to consider under the heightened scrutiny process. Sent to Hawaii on January 13, 2017.

Clarifications and/or Modifications required for Initial Approval (CMIA): This letter notifies states that public comment, input and summary requirements are met, but CMS has identified issues that must be resolved in the Statewide Transition Plan (STP) prior to initial approval. Sent to Hawaii on July 30, 2015.


The purpose of the validation review was to confirm the findings from the provider survey. The validation period was from mid-October 2015 to mid-December 2015. A team of at least two (2) individuals will conduct the validation.
Participation in the validation process is mandatory to be able to continue to obtain reimbursement from a Medicaid health plan or participate as a provider in the developmental and intellectual disability (DD/ID) 1915(c) waiver.

Provider Summary – January 2016

ResourcesBack to TOP

My Way My Choice – Questions and Answers

What is My Choice My Way?: HCBS Settings Rule Summary 

NewsBack to TOP

More to come

State PartnersBack to TOP

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