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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.
Rhode Island operates its Medicaid system entirely through an 1115 waiver called the Rhode Island Comprehensive Demonstration. CMS has indicated that HCBS delivered through 1115 waivers must be compliant with the rule. Advocates are still awaiting guidance from CMS how they will implement and enforce this requirement.
Comment Period for revised Statewide Transition Plan July 9 – August 9, 2018. See plan here.
August 24, 2018 NEW CMS’ Additional Feedback for Final Approval
State DocumentsBack to TOP
Draft – Statewide HCBS Transition Plan (June, 2015)
Draft – HCBS Transition Plan (April, 2015)
Letter to CMS – January 28, 2015
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 Rhode Island on January 5, 2017
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 Rhode Island on November 5, 2015
State of Rhode Island requested comment on HCBS Setting Systemic Assessments Remediation Grid, Closed Feb 19, 2016
HCBS Provider Self Assessment Tool
The State of Rhode Island continues to develop a Statewide Transition Plan in order to become in compliance with the Final Rule for Home and Community Based Services (HCBS). An integral component of the transition plan is a provider self-assessment/plan of existing settings to determine how closely they currently comply or don’t comply with the Final Rule and if they don’t comply, what is needed in terms of a plan and compliance by March 2019.
Below are the Provider Self-Assessment tools for Residential and Non-Residential settings that have been developed by the State team. We are seeking your input and welcome your review and comments.
Below are the final versions of the Assessment tools for the CMS Final Rule. We made revisions based on feedback and comments sent to us by March 4, 2015. A summary of those comments are included.
- Non-Residential Provider Assessment Tool – 3/9/2015
- Residential Provider Assessment Tool – 3/9/2015
- Response to Comments and Questions – 3/9/2015
- Home and Community Based Services – 1/26/2015
- HCBS Letter to CMS – 1/28/2015
ResourcesBack to TOP
Executive Office for Health and Human Services HCBS Presentation – January 26, 2015
NewsBack to TOP
More to come