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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.
In May 2014, the state posted an HCBS Transition Plan. Comments were due June 16, 2014
In June 2014, the Office of Long-Term Living (OLTL) posted an HCBS Transition Plan for the Aging, Attendant Care, and Independence Waivers.
On June 30, 2014 the Department submitted amendments to CMS for the Aging, Independence and Attendant Care Waivers, as well as a Statewide Transition Plan. Through follow-up discussions with CMS, these waiver amendments were withdrawn, along with the Statewide Transition Plan.
On November 26, 2014 the Office of Long-Term Living posted updates to transition plans for the Independence, Attendant Care, AIDS, and Aging Waiver Transition Plans. Comments were due December 29, 2014.
State DocumentsBack to TOP
Revised Statewide Transition Plan – March 31, 2016
Statewide Transition Plan Comments and Responses – March 31, 2016
February 2015 revised Draft Statewide Transition Plan – Comments due March 22, 2015
- Statewide Transition Plan Comments and Responses (April 2, 2015)
- Public Input Meetings Notice – PA Bulletin (Feb. 21, 2015)
- Responses to Public Comments
HCBS Transition Plan – May 2014
OLTL HCBS Transition Plan – June 2014
OLTL Official Public Notice and November 2014 Updated Plans (Comments due December 29, 2014):
- Independence Waiver
- Attendant Care Waiver
- AIDS Waiver
- Aging Waiver
- Settings Analysis Chart Attendant Care and AIDS Waiver
- Settings Analysis Chart Aging Waiver
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 Pennsylvania on September 16th, 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 PA on August 30, 2016).