NOTE: Some links on the state site are broken. Will provide more information soon!

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

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 June 16, 2014, the Community Options Advisory Council held a public meeting on Community First Choice & Community Options Waivers. See the Maryland Disability Law Center website for more details.

In October 2014, the Department of Health and Mental Hygiene hosted a series of public meetings about the rule.

The State of Maryland also conducted three surveys – Participants or Caregivers, Case Managers/Support Planners, and Residential Providers – as part of the assessment of current settings. Survey responses were due October 31, 2014.

In December 2014, DHMH posted a draft Statewide Transition Plan for Compliance with Home and Community-Based Setting Rules. Comments were due February 15, 2015.

In January 2015, the state will hold another series of public meetings about the transition process. For the list, see: State of Maryland Transition Plan meeting schedule

State DocumentsBack to TOP

Maryland HCBS Transition Plan Homepage


Home and Community-Based Programs Overview

HCBS PowerPoint – 2014

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 Maryland on November 5, 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. Aug 2, 2017

ResourcesBack to TOP

Maryland Disability Law Center Chart of HCBS Rule

Maryland Disability Law Center Comments on Transition Plan Draft – December 2014

Maryland Disability Law Center Comments on Transition Plan – February 2015

NewsBack to TOP

NEW! Town Hall Meeting: CMS Final Rule  February 16, 2016 at 6pm

State PartnersBack to TOP

Leave a Reply

Fill in your details below or click an icon to log in: Logo

You are commenting using your account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s