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.

In October 2014, the Department of Social and Human Services posted the New Freedom Waiver Application and New Freedom Transition Plan. Comments were due November 14, 2014.

On November 5, 2014, DSHS posted notice of an amendment to the Residential Supports Waiver. Comments were due December 5, 2014.

On December 11, 2014, DSHS posted a Draft Transition Plan for New HCBS Rules. The draft was then updated January 6, 2015. Comments were due February 6, 2015.

On December 17, 2014, DSHS will hosed a webinar about the planned statewide transition plan. See PowerPoint Slides.

Comment period open for Washington Statewide Transition Plan. Comment period ended February 15, 2016

State DocumentsBack to TOP

Home and Community Based Services Rules Homepage

New Freedom 1915(c) Waiver:

Residential Supports 1915(c) Waiver:

Draft HCBS Statewide Transition Plan – Comments due February 6, 2015.

PowerPoint Slides about Transition Plan

Statewide Transition Plan – March 11, 2015

Revised Statewide Transition Plan – January 15, 2016

NEW – Final approved plan: On 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 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. November 3, 2016

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 Washington on September 16th, 2015.

ResourcesBack to TOP

More to come

NewsBack to TOP

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State PartnersBack to TOP

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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