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.

Documents to assist in Utah’s ongoing efforts to meet the requirements of the HCBS Settings Rule have been posted and are available for public comment.

  1. The Settings Crosswalk which outlines compliance status for regulations and policies affected by the Settings Rule and proposed State action
  2. The State Transition Plan Version 4.

Comments on the documents listed above were accepted through August 28, 2016.

The documents themselves may be accessed on Utah’s HCBS site.  Information on how to submit public comment can also be found at this location.

The State Medicaid Agency also accepted comment on the Settings Crosswalk and the State Transition Plan Version 4 at a public meeting on Wednesday August 17, 2016 from 10:30 AM to 12:00 PM in Room 125 at the Cannon Health Building (288 N. 1460 W, Salt Lake City, UT 84116)

  • Call in number for meeting:

Should you have any questions, you are welcome to contact Anne Stephens at astephens@utah.gov or Josip Ambrenac at jambrena@utah.gov.

State DocumentsBack to TOP

  • 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 New Jersey on October 8, 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 Utah on April 5, 2017).                                                                                                                                                                   

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