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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.
Louisiana’s HCBS system is housed in three different agencies – Office for Citizens with Developmental Disabilities, Office of Behavioral Health, and Office of Aging & Adult Services. Each has a transition plan.
In October of 2014, the Office for Citizens with Developmental Disabilities posted a Draft HCBS Setting Transition Summary/Description and a Draft HCBS Setting Transition Plan. Comments were due December 17, 2014.
In early 2015, the state extended the comment periods for Supports Waiver Transition Plan (comments due February 27, 2015) and Residential Options Wavier Transition Plan (comments due March 12, 2015)
In November 2014, the Office of Aging & Adult Services posted a Draft Transition Plan. Comments were due December 31, 2014.
The public may submit questions or comments pertaining to the transition plan via email to email@example.com until April 30, 2015.
State DocumentsBack to TOP
- Draft HCBS Setting Transition Summary/Description
- Draft HCBS Setting Transition Plan – Comments due December 17, 2014
- Notice of Public Meeting – January 30, 2015
- Transition Plan Presentation
- Draft Supports Waiver Transition Plan – Comments due February 27, 2015
- Draft Residential Options Transition Plan – Comments due March 12, 2015
- OBH HCBS Transition Plan – updated February 2, 2015
- OBH HCBS Settings Transition White Paper
- OBH Setting Analysis
- HCBS Transition Presentation
- OBH Adult HCBS Setting Transition Plan
- OBH Coordinated System of Care Settings Transition Plan
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 Louisiana on October 15, 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. CMS sent this letter to Louisiana on March 3, 2017
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More to come