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 were 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).

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

Utah’s amended HCBS Statewide Transition Plan Version 5 is open for public comment. Comments are due February 15, 2019.

NEW: Final STP Approval, June 7, 2019

August 22, 2018 NEW CMS’ Additional Feedback for Final Approval

Stakeholder Meeting: Utah would like to discuss expectations and timelines for provider remediation activities, and next steps for Utah as outlined in the State Transition Plan.  To facilitate this discussion, a meeting has been scheduled on Monday, February 12, 2018 from 1:00 PM – 3:00 PM at the Utah Department of Health, Cannon Building, Room 125, 288 N 1460 W, Salt Lake City. For those unable to attend in person, a call-in line will be available: Dial the access number: 1-877-820-7831; Enter the Passcode: 197312

NEW Stakeholder Meetings: 

Utah invites you to participate in the following focus group meeting(s) that affect the service settings in which you have an interest.  Please distribute this letter to other stakeholders who might also like to attend.

Time: 2:00 to 4:00 PM and Location: DOH Cannon Building, 288 N 1460 W, Salt Lake City 84114 for all meetings

  • Topic 1: Adult Day Care (non-residential)
    • June 05, 2018:
    • Room129
  • Topic 2: New Choices Waiver (residential)
    • June 19, 2018
    • Room 129
  • Topic 3: Day Support (non-residential)
    • June 26, 2018
    • Room 125
  • Topic 4: Employment (non-residential)
    • July 03, 2018
    • Room 125
  • Topic 5: DSPD (residential)
    • July 10, 2018
    • Room 125

If you have questions about the HCBS Settings Rule or compliance process please contact the Bureau of Authorization and Community Based Services via email at HCBSSettings@utah.gov or Heather Mossinger by phone at 801-538-6613.

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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