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.

Comments were due on the Oklahoma Health Care Authority Proposed Rule on September 2, 2014.

On January 15, 2015 the Oklahoma Health Care Authority posted transition plans and waiver applications for eight waivers. See all documents below under State Documents. Comments were due February 16, 2015.

Comment PeriodPlease view the current Revised Statewide Transition Plan in its entirety here: Revised Statewide Transition Plan. The current version will be posted for comment from October 6, 2016-November 6, 2016. The Revised Statewide Transition Plan will be submitted to CMS by November 10, 2016.

State DocumentsBack to TOP

Previous Submissions and CMS Feedback, concerning the Statewide Transition Plan, can be viewed here:

NEW – Final approved plan: On August 10, 2017, CMS granted Oklahoma final approval of their STP.  Final approval was granted because the state completed both its systemic assessment and its site-specific assessment, included the outcomes of both assessments in the STP, outlined remediation strategies to rectify issues that both assessments uncovered, and laid out its heightened scrutiny, ongoing monitoring and relocation processes. Oklahoma will need to provide quarterly written updates, and participate in quarterly phone discussions with the CMS team to review the state’s progress in implementing the STP. In addition, the state must work collaboratively with CMS to identify any areas that may need strengthening with respect to the state’s remediation, relocation, and heightened scrutiny processes as they implement each of the key elements of their state transition plan. Oklahoma will have until 2022 to come into full compliance

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 Montana on December 28, 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 Oklahoma on September 24, 2015.

Oklahoma Health Care Authority Proposed Rule (August 2014)

Oklahoma Health Care Authority Waiver-Specific Transition Plans (Comments were due February 6, 2015):



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One thought on “Oklahoma

    Johnk260 said:
    August 28, 2015 at 5:51 pm

    Definitely, what a fantastic website and informative posts, I definitely will bookmark your blog.All the Best! dkedgbcceeaf

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