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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.
State DocumentsBack to TOP
Final approved plan (Amended Based on Public Comment February 1, 2016): On April 13, 2016, CMS granted Tennessee 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. Tennessee 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.
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 Tennessee on July 23, 2015
- Non-Residential Provider Self-Assessment
- Residential Provider Self-Assessment
- Residential Provider Self-Assessment Crosswalk
- HCBS Provider Self-Assessment FAQs
- Individual Experience Assessment Tool
- Person-Centered Planning Assessment Tool
TennCare Employment Data Sheet
June 20, 2016 – Memo to HCBS Waiver Providers from TennCare and Dept of IDD
ResourcesBack to TOP
NEW! Educational Webinar on HCBS Rule Implementation & TN Approved STP – May 26, 2016
- PowerPoint for Webinar
Governor Haslam released his fiscal year 2016-2017 budget recommendation to the public and to the General Assembly Monday night at the State of the State address. His budget recommendation includes some adjustments of significant impact to the $849.3 million budget for all DIDD administered programs.
Comments on the Concept Paper: TennesseeWorks Employers and Providers Workgroup Final Waiver Comments
Comments on Transition Plan: TennesseeWorks Transition Plan Response
Comments on the Transition Plan: TennesseeWorks Employers and Providers Workgroup Comments
The Tennessee Medicaid agency also developed two summary documents about the concept paper intended to be easier to understand:
The Concept Paper does not address the HCBS Settings rule. However,if the state moves forward with the changes proposed in the Concept Paper, their waiver amendment application to CMS would require a Transition Plan and may hasten their transition timeline.
- Notice for Mandatory Webinar for Providers and the recording
- Provider presentation on Heightened Scrutiny process
- State presentation on the Rule for Consumers and Families (HCBS Settings and Person Centered Planning)
- State presentation on the Rule for Providers (How to complete non-residential and residential provider survey)
- State presentation for providers on how providers can complete and submit the Person-Centered Planning Self-Assessments and the validation process for these self-assessments
NewsBack to TOP
Nov 16, 2015 – Internal state heightened scrutiny (HS) review: This memorandum provides information regarding next steps to assess and ensure State compliance with the Centers for Medicare and Medicaid Services (CMS) Home and Community Based Services (HCBS) Settings Rule (regarding Heightened Scrutiny)