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 October 20, 2018, the Ohio Department of Medicaid posted a revised Transition Plan. Comments are due November 20, 2018. The notice also states that a non-electronic copy of the Heightened Scrutiny Packages may be obtained by calling (800) 364-3153.

On December 15, the Ohio Governor’s Office for Health Transformation posted materials for a draft transition plan. Comments are due January 23, 2015.

New Statewide Transition Plan (STP) approved September 20, 2019

Ohio Statewide Transition Plan available for Public Comment through July 15, 2019

Ohio Statewide Transition Plan available for Public Comment through January 12

State DocumentsBack to TOP


Revised Transition Plan – comments due November 20, 2018.

Ohio Governor’s Office for Health Transformation page on HCBS

Draft Transition Plan (comments due January 23, 2015):

Disability Rights Ohio Comments on Ohio CMS Transition Plan – January 20, 2015

HCBS Statewide Transition Plan – March 13, 2015

Summary of revision – October 2015

Revised Transition Plan – October 2015

Public Notice and Request for Comment – November 15, 2015

Statewide Transition Plan – June, 2016


  • 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.
  • 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 Ohio on July 23, 2015.


ResourcesBack to TOP

Disability Rights Ohio Raises Concerns About State Transition Plan for CMS Rule Changes

University of Cincinnati University Center for Excellence in Developmental Disabilities Comments on Transition Plans

An Overview of the Home and Community-Based Settings Regulation

Inclusive Service Delivery PowerPoint: The New CMS Definition of Home & Community Based Service

NewsBack to TOP

More to come

State PartnersBack to TOP

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