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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.

New DMHA Residential Settings that Require Heightened Scrutiny through August 23, 2019

Indiana Statewide Transition Plan available for Public Comment through July 19, 2019

On August 22, 2018, Indiana posted an updated transition plan and public comments are due September 21, 2018.

On July 7, 2014 the state posted a Indiana Preliminary Transition Plan for Assessing the Division of Disability and Rehabilitative Services HCBS Settings Compliance. Comments were due August 7, 2014.

On October 31, 2014 the state posted the Statewide Transition Plan for Compliance with Home and Community Based Settings Rules. Comments were due December 1, 2014.

On December 12, 2014, Indiana submitted a final Statewide Transition Plan to the federal Centers for Medicare and Medicaid Services.

State DocumentsBack to TOP


Medicaid HCBS Waivers Homepage

Indiana HCBS Finale Rule Website

August 9, 2018 CMS’ Additional Feedback for Final Approval

Preliminary Transition Plan for Assessing DDRS’ HCBS Setting Compliance 

Statewide Transition Plan for Compliance with Home and Community Based Settings Rules

Final Statewide Transition Plan – submitted to CMS on December 12, 2014

  • 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. November 8, 2016
  •  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 Indiana on October 8, 2015

ResourcesBack to TOP


NewsBack to TOP

More to come

State PartnersBack to TOP

One thought on “Indiana

    Mary Pat Torbeck said:
    July 1, 2016 at 11:37 am

    I am writing to express our family’s deep concern over this issue.
    We ask the leadership to please allow our Indiana residents FULL choice in housing. To legislate what constitutes the ‘right’ living environment to any person is very troubling to me and is not what the original law had in mind. It was to protect the individual with disabilities, not control their choices. We can certainly have policies in place to Protect without the constraints of control. It’s all in the language. So we urge you to please carefully choose language when creating current and future policies so that all our Hoosier residents can choose what kind of living environment is best for them. Developmental disabilities have a way of diminishing many options for individuals who live with them. Let’s not take away their fundamental right to choose WHERE to live.
    Thank you’

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