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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.
State DocumentsBack to TOP
Iowa Department of Human Services Main Page for HCBS Updates
Revised Statewide Transition Plan – January 29, 2016 (Comments were due by March 2, 2016)
On May 9, 2014 the Iowa Department of Human Services has released three documents regarding the state’s transition plan:
- 5-9-14 HCBS Settings White Paper
- 5-9-14 HCBS Transition Plan DRAFT 05 01 14
- HCBS Settings Transition Plan Public Comment Period
Comments on these documents closed May 31, 2014.
In August 2014, the state submitted its transition plan for the ID Waiver to CMS and released the following documents
- ID Waiver Transition Plan
- ID Waiver Summary of Transition Plan Changes
- HCBS Settings Analysis
- Responses to Public Comments
- Iowa Exploratory Questions
- Iowa Settings that Isolate
In October 2014, the state posted transition plan documents for its remaining six waivers as well as the statewide transition plan.
- Brain Injury Waiver Transition Plan
- Elderly Waiver Transition Plan
- Children’s Mental Health Waiver Transition Plan
- Health and Disability Waiver Transition Plan
- Physical Disability Waiver Transition Plan
- AIDS/HIV Waiver Transition Plan
- HCBS Waiver Statewide Transition Plan
Comments on these documents were due November 30, 2014.
On December 12, 2014 the Iowa Department of Human Services submitted a Final Statewide Transition Plan to CMS.
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 Iowa on September 4, 2015.
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 Iowa on August 9, 2016).
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More to come