For the most up to date news and information on your state’s plan, visit: https://www.dshs.wa.gov/altsa/hcbs-statewide-draft-transition-plan

Status of HCBS Settings Rule Transition Plans (STP)

Final Approvals

October 24, 2017: CMS granted Washington 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. Washington 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. Washington will have until 2022 to come into full compliance

Initial Approvals

November 3, 2016: 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.

Draft STP Additions by Date

January 15, 2016: Revised Statewide Transition Plan

March 11, 2015: Statewide Transition Plan

February 6, 2015: Draft HCBS Statewide Transition Plan

December 17, 2014: PowerPoint Slides about Transition Plan

Disability Advocacy Organization Comments on Draft STP

February 6, 2016: Disability Rights Washington’s Cover Letter Narrative on Comments to Statewide Plan

March 19, 2015: Disability Rights Washington (P&A) comments on Statewide Plan

State Partners

Center on Human Development and Disabilities at the University of Washington

Disability Rights Washington

Washington State DD Council


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.

One thought on “Washington

    Patricia Hunter said:
    May 5, 2017 at 6:08 pm

    Hi where is our state currently in an approved plan by CMS? I am at a National meeting and just heard CMS state that only one state alias an approved plan, Tennessee. Where are we and how can State LTCOP join the partner team at this point? Thank you! Patricia Hunter

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