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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.
North Dakota submitted a renewal for its Traditional ID/DD/HCBS 1915(c) waiver on December 31, 2013 and CMS approved the waiver on March 26, 2014. The waiver took effect April 1, 2014. It has no other waivers up for renewal before March 17, 2015. See a draft of the waiver application.
For more information visit Medicaid.gov.
On July 2, the North Dakota Department of Human Services posted a Provisional Transition Plan of the Medicaid 1915c HCBS Medicaid Wavier. Comments were due August 1, 2014.
On October 15, the Department posted a Statewide Preliminary Transition Plan of the Home and Community-Based Services (HCBS) Settings under Medicaid 1915(c) Waivers and the Tribal Notification of Statewide Preliminary Transition Plan of the Home and Community-Based Services (HCBS) Settings under Medicaid 1915(c) Waivers. Comments are due November 14, 2014.
On November 28, 2014, North Dakota submitted a final Statewide Transition Plan to the federal Centers for Medicare and Medicaid Services.
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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. November 1, 2016
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 Dakota in July 2015.
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More to come