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.

On April 18, 2014 the state posted a plan for assessing current home and community-based settings. Public comments on the assessment plan are were due May 22, 2014.

On September 24, 2014 documents were re-posted with regards to conflict free case management. Comments on these changes were due November 3, 2014.

On October 3, additional Transition Plans were posted for comment; comment period closed November 3, 2014.

On November 25, 2014, Wyoming submitted a final Statewide Transition Plan to the federal Centers for Medicare and Medicaid Services.

State DocumentsBack to TOP


Wyoming Department of Health Developmental Disabilities Division HCBS page  

NEW – Final approved plan: On June 29, 2018, CMS granted Wyoming 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. Arkansas 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. Wyoming 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 (sent to Wyoming on May 10, 2017).

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 Wyoming on July 9, 2015.

Wyoming’s Transition Plan that was submitted to CMS for final approval, June 2018

April 2014: Wyoming State Plan for Assessing HCB Settings Compliance

September 2014: Summary of Supports And Comprehensive Waiver Amendments

October 2014 Transition Plan:

Other October 2014 Documents:

Statewide Transition Plan submitted to CMS on November 25, 2014

Summary of Public Comments to Statewide Transition Plan

HCB Setting Information and Transition plans

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More to come

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One thought on “Wyoming

    […] Information for advocates about the new home and community-based service rules.  https://hcbsadvocacy.org/state-resources/wyoming/ […]

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