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.

State DocumentsBack to TOP

Transition Plan Homepage

Letter from CMS informing TN that they have granted both initial and final approval of its Statewide Transition Plan (STP) –April 13, 2016

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.

Summary of TN STP

Revised Statewide Transition Plan proposed to CMS on January 26, 2015 (track changes)

Revised Statewide Transition Plan – November 13, 2015 (track changes)

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


TennCare Employment Data Sheet

June 20, 2016 – Memo to HCBS Waiver Providers from TennCare and Dept of IDD

ResourcesBack to TOP


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)

State PartnersBack to TOP

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