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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.

On October 3, 2014, Idaho Department of Health and Welfare posted a Draft State Transition Plan. Comments are were November 2.

The State continues to work on the assessment of their current settings and expect to have a second version of their plan ready for public comment in February 2015.

On January 23, 2015 Idaho posted a Statewide Transition Plan. Comments were due February 22, 2015.

NEW Comment Period: The state of Idaho’s Department of Health and Welfare, Division of Medicaid is seeking public input on the transition plan (click here for more information). Please take the time to comment on the transition plan and whether or not you believe it includes sufficient activities for the state of Idaho to comply with the new HCBS regulations. Comments must be submitted by June 30, 2018. Comments and input regarding the draft transition plan may be submitted in the following ways:

  1. On this webpage in the right hand column you will see an “Ask the Program” section. There you can use the Email the program tab to email your comments directly to the program.
  2. By e-mail:
  3. By written comments sent to:
    Division of Medicaid, Attn. Transition Plan
    PO Box 83720
    Boise, ID 83720-0009
  4. By FAX: (208) 332-7286 (please include: Attention HCBS)
  5. By calling toll free to leave a voicemail message: 1-(833) 201-7468

State Documents


New! CMS letter granting Final Approval of Idaho Plan Final Approval is the communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, the STP has provided all necessary information including but not limited to; systemic assessment, site specific assessment, settings presumed to have institutional characteristics, information regarding heightened scrutiny or the state’s decision to let the presumption stand, and clear remedial steps with milestones are delineated.

Idaho Department of Health and Welfare Transition Plan Page

Draft State Transition Plan

Statewide Transition Plan – Comments due February 22, 2015

Final Statewide HCBS Transition Plan – March 13, 2015

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. CMS sent this letter to Idaho on Aug 7, 2015

Idaho State Transition Plan: Public Notice and Request for Comment

NEW 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 Idaho on September 23, 2016).

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