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.

August 23, 2018 NEW CMS’ Additional Feedback for Final Approval

In August 2014, the Wisconsin Department of Health Services posted a Draft Family Care HCBS plan. Comments were due September 2, 2014.

On October 2, 2014 DHS submitted the Family Care Home and Community-Based Settings Transition Plan to CMS.

On November 26, 2014 DHS posted a Statewide Transition Plan. Comments were due December 26, 2014.

On December 12, 2014, DSH amended and resubmitted the Family Care Home and Community-Based Settings Transition Plan to CMS

In December 2014, DHS posted a Draft Residential Provider Self-Assessment. Comments were due January 16, 2015.

On January 30, 2015 DHS submitted a Statewide Transition Plan to CMS.

State DocumentsBack to TOP

Transition Plans and Waiver Renewals

Wisconsin Department of Health Services Draft Family Care Home and Community-Based Settings Transition Plan

Family Care HCBS Transition Plan submitted to CMS on October 2, 2014

Revised Family Care HCBS Transition Plan submitted to CMS on December 12, 2014

Draft Statewide Transition Plan  – Comments Due December 26, 2014.

Statewide Transition Plan – submitted to CMS on January 30, 2015

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 Wisconsin  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. July 14, 2017


WI DHS Letter to CMS 8-21-14

CMS response to Wisconsin request 10 7 14

WI DHS Letter to CMS 12-17-14

Comments from Disability Rights Wisconsin – April 3, 2017

  • Includes connection between service authorization and rule compliance, focus on integration instead of cost efficiency, increase pre-voc and supported employment, improvements to proposed method of survey validation

ResourcesBack to TOP

Frequently Asked Questions about Wisconsin’s Transition Plan

Frequently Asked Questions about Non-Residential Services

FAQ: What Do Changes in the Home and Community-Based Settings Rule Mean for me?

Survival Coalition


Take A Stand on the Plan


NewsBack to TOP

Photo: AP Phoyo/Bethesda Lutheran Communities.09/02/2014
Plan could help developmentally disabled get jobs

MILWAUKEE – A recent federal ruling aims to help find jobs for people with developmental disabilities, but some Wisconsin families are worried about how it will be implemented. The decision involves working conditions for people who have cognitive disabilities such as autism and Down syndrome. Some may have trouble reading, counting money or being in large groups, which leaves them with limited options.

Barbara Katz, Beth Swedeen, Lisa Pugh: Back new blueprint for people with disabilitie

We write as mothers of young people with disabilities wanting the best future for our sons and daughters. As professional disability advocates, we also want the public to understand the significance of the next few days in development of a blueprint for the future for all people with disabilities in Wisconsin.

Residents at a nursing home in Osceola, in western Wisconsin. Photo: Ann (CC-BY).08/07/2014
State Seeks Public Comment On Federal Rule Changes To Care For Elderly, Disabled People

Centers For Medicaid And Medicare Services Announced Changes Earlier This Year

The state is seeking public comment from people who will be affected by federal rule changes for home- and community-based services used by elderly and disabled people.

The state agency has a 30-day window for the public to comment on the proposed regulations.

Twenty years ago, sheltered workshops, group homes and day care for the disabled were seen as innovative, according to Lisa Pugh. But the policy director for Disability Rights Wisconsin said that over time, those approaches have come to be considered antiquated because they don’t promote independence.

Disability advocates plan urgent meetings today

The Wisconsin Department of Health Services is considering changes to its Family Care plan, which means places like Northwoods in Portage would have to transition the people with mental disabilities it employs into community-based jobs within five years.

The state agency has a 30-day window for the public to comment on the proposed regulations.

Emergency meetings — dubbed “Voice Your Choice” — about the proposal are being held from 1 to 3 p.m. and 5 to 7 p.m. today at Northwoods, located at N6510 Highway 51 in Portage. The purpose of the meeting is to inform families or guardians of how the plan would effect the population and how to contact legislators about the issue. The meetings are being put on by A Team Wisconsin, a grassroots advocacy group of families, guardians and people with disabilities.

Journal Sentinel Files. In this file photo, participants work on the production line at a training center in Racine that offers assessment, training and job placement for people with disabilities.07/31/2014
Improving the Lives of People with Disabilities

Kevin Fech, board chair of Wisconsin Board for People with Developmental Disabilities; Cindy Bentley, director of People First of Wisconsin; and Laura Owens, executive director of the Association of People Supporting Employment First penned this opinion piece for the Milwaukee Wisconsin Journal Sentinel.

“Imagine living in a home where you didn’t choose who lived with you. You don’t even have your own key; you have to wait for someone to let you in. You can’t choose what you eat, watch on TV or when you go to bed. You can’t have visitors when you want, and some people aren’t allowed to visit you.”

State PartnersBack to TOP

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