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.

On December 30, 2014, Missouri posted a Statewide Transition Plan (STP) for public comment. Comments were due January 30, 2015.

STP public comment period July 29-Aug 29:

State DocumentsBack to TOP

Missouri Homepage: Alerts and Notifications

Draft: Missouri HCBS informal submission to CMS

Summary of Public Comment

Statewide Transition Plan – comments due January 30, 2015

Transition Plan Summary

Settings Analysis

HCBS Transition Plan: Developmental Disabilities 

New: Missouri’s revised HCBS Statewide Transition Plan (Amended 03/27/19) has been posted on the MO HealthNet Division’s HCBS Statewide Transition Plan web page.

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 Missouri on August 13, 2015.

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 Missouri on March 29, 2017

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

ResourcesBack to TOP

More to come

NewsBack to TOP

Photo: AP Phoyo/Bethesda Lutheran Communities09/02/2014
New federal rules could close sheltered workshops for people with disabilities

New federal rules seek to integrate people with disabilities into competitive jobs that pay at least the minimum wage, a move that could force sheltered workshops such as JobOne’s to close. Barbara Winkler says the intention of the new rules might be good, but the effect is not positive.

State PartnersBack to TOP

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