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.

NEW Open comment periods (opened on November 7, 2019)

In July 2014, the Texas Department of Aging and Disability Studies posted a posted a transition plan and assessment plan for the Medically Dependent Children Program. Comments are due August 18, 2014.

On October 13, 2014 the state will hold an HCBS Rules Stakeholder Meeting. They will also be accepting written comments until November 12, 2014.

On November 7, the Texas Department of Aging and Disability Services posted the final statewide transition plan for a 30-day public comment period, extending from Nov. 7, 2014 – Dec. 7, 2014.

A dedicated mailbox available for each of the waiver programs to submit comments are listed at: http://www.dads.state.tx.us/providers/HCBS/contact.html

On December 19, 2014, Texas submitted a Final Statewide Transition Plan to the federal Centers for Medicare and Medicaid Services.

On January 30, 2015 Texas posted a revised Statewide Transition Plan that includes changes for HCBS settings provided through the STAR+PLUS 1115 waiver program. Comments were due March 1, 2015.

State DocumentsBack to TOP

Texas HCBS Transition Plan Homepage

Texas Department of Aging and Disability Services has posted a transition plan and assessment plan for the Medically Dependent Children Program. Comments are due August 18, 2014.

 Draft statewide transition plan Comments due December 7, 2014

Final Statewide Transition Plan submitted to CMS December 2015

State Pages:

Revised Statewide Transition Plan posted for common January 2015. Comments were March 1, 2015.


Letter from CMS to Texas regarding HCBS Rules and 1115 Waiver: HCBS Letter to Texas

NEW! 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 Texas on September 4, 2015.

ResourcesBack to TOP

Joint comments from Disability Rights Texas, EveryChild, Inc., Texas Council for Developmental Disabilities, and The Arc of Texas: Advocate Input 8.81.14

Texas Council for Developmental Disabilities & Employment First Task Force October 13, 2014 Comments on HCBS Settings Rule

NewsBack to TOP

More to come

State PartnersBack to TOP

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