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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.
On September 3, 2014 the Department of Health & Human Services posted a Statewide Transition Plan. Comments were due October 15, 2014.
On December 1, 2014 DHHS posted a Summary of Comments, Responses to Comments and Comments Received and a Revised Comprehensive Transition Plan
On March 9, 2015 DHHS submitted a final Statewide Transition Plan to CMS.
Comments on the Assisted Living Survey Result were due March 16, 2015.
Nebraska is seeking public comment on its Statewide Transition Plan for HCBS. Comment period closed April 26, 2016.
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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 Nebraska on September 24, 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 Nebraska on March 31, 2017).
Revised Statewide Transition Plan – December 2014
Revised Statewide Transition Plan Draft for Public Comment – September 2014
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More to come