North Carolina

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 January 21, 2015, the North Carolina Department of Health and Human Services posted a draft transition plan for comment. Comments are due February 20, 2015.

State DocumentsBack to TOP

Home and Community Based Services Page

January 2015 Draft Transition Plan (comments due February 20, 2015):

North Carolina DHHS HCBS Final Rule Transition Plan

North Carolina DHHS HCBS Final Rule Transition Plan (Person First)

NCDHHS Timeline for HCBS Transitional Plan

North Carolina DHHS HCBS Final Rule Transition Plan

NCDHHS Home and Community Based Settings (HCBS) Self-Assessment

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 North Carolina on August 7, 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. September 6, 2017

Revised STP – December 2015 (no comment period)

Correspondence from CMS to NC and NC response to CMS

ResourcesBack to TOP

North Carolina Stakeholder Engagement Group

Disability Rights North Carolina and National Health Law Program Comments on Draft Plan

NewsBack to TOP

More to come

State PartnersBack to TOP


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