The Centers for Medicare & Medicaid Services (CMS) have issued regulations that define the settings in which it is permissible for states to pay for Medicaid Home- and Community-Based Services (HCBS).
The purpose of these regulations are to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree as individuals who do not receive HCBS.
The state intends to submit a final statewide setting transition plan (STP) to CMS on December 11, 2019. The STP will cover the 1915(i) State Plan HCBS program known as HCBS Habilitation Services and all seven 1915(c) HCBS Waivers, which includes the Intellectual Disability, Brain Injury, Health and Disability, Physical Disability, Elderly, AIDS/HIV and Children’s Mental Health Waivers. The STP covers all HCBS services whether provided through the Fee-for-Service (FFS) delivery system or through a Managed Care Organization (MCO), including any additional HCBS provided as “value-added” or 1915(b)(3) services through an MCO.
The STP posted for public comment on October 14, 2019 has been revised to address CMS input on the need to include required settings validation results broken down into setting types and compliance categories. This information has been added to the revised STP.
PUBLIC NOTICE: PUBLIC COMMENT PERIOD FOR HCBS WAIVER STP
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Post Date: |
November 4, 2019 |
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End Date: |
December 4, 2019 |
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Purpose: |
The purpose of this posting is to provide public notice and receive public comments on the final HCBS Waiver STP. |
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Notice: |
Public Notice: Public Comment Period For Home- and Community-Based Services (HCBS) Waiver Statewide Transition Plan (STP) |
WRITTEN NOTICE MAY BE ADDRESSED TO:
Comments may also be sent via electronic mail to HCBSSettings@dhs.state.ia.us.