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 hcbsadvocacy@gmail.com.

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.

Minnesota currently has pending a 1115 Long Term Care Realignment Waiver. Minnesota is proposing a demonstration to revise its nursing facility level of care criteria. This will impact eligibility for nursing facilities and three of the state’s 1915(c) waivers – Community Alternatives for Disabled Individuals (CADI), Brain Injury (BI), and Elderly Waiver (EW). CMS has indicated that HCBS delivered through 1115 waivers must be compliant with the rule.

Minnesota, February 12, 2019

On February 6, 2019, Minnesota posted a number of evidentiary packages for heightened scrutiny that are open for public comment until 4pm on March 6, 2019.

On September 27, 2018 Minnesota posted an updated transition plan and public comments are due October 10, 2018.

In November 2014, the Minnesota Department of Human Services posted a Statewide Transition Plan. Comments were due December 17, 2014.

On January 8, 2015 the Minnesota Department of Human Services submitted a Final Statewide Transition Plan to CMS.

State DocumentsBack to TOP


Letter from CMS to Minnesota regarding HCBS Rules and 1115 Waiver: HCBS Letter to Minnesota

Initial Approval Addendum Letter is a letter from CMS to the state explaining what needs to be changed in order to receive final approval. July 9, 2018

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. June 2, 2017

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 Minnesota on October 8, 2015

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