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HCBS Transition Plans Update

August 31, 2017

Kentucky Receives Final Approval for Its HCBS Transition Plan

On June 13, 2017, Kentucky received final approval for its home and community-based services (HCBS) Transition Plan from the Center for Medicare and Medicaid Services (CMS). Final approval was granted because Kentucky: (a) conducted a site-specific assessment of all settings receiving HCBS Medicaid funding and outlined ways that it would rectify any lack of compliance; (b) created a method for communicating with beneficiaries in settings that will not or cannot come into compliance with the Final Rule; and (c) outlined a detailed plan explaining how heightened scrutiny procedures will work within the state.

Kentucky, as part of its response to the concerns CMS outlined in its initial approval letter, made changes to its Transition Plan to ensure that its non-residential HCBS settings comply with the Final Rule. Non-residential settings are generally settings that provide integrated day services and supported employment services to beneficiaries. The changes Kentucky made include creating an improved process for compliance monitoring in these setting, which includes an open-ended survey for beneficiaries that asks them about their experiences.

For more information on the final approval of Kentucky’s HCBS Transition Plan, read the final approval letter.

Arkansas Receives Final Approval for its HCBS Transition Plan

On June 2, 2017, Arkansas received final approval for its HCBS Transition Plan from CMS. Final approval was granted because Arkansas: (a) established “ongoing quality assurance measures” that will ensure all settings remain in compliance with the Final Rule in the future; and (b) added additional details on how the state will determine which settings are submitted for heightened scrutiny, with a particular focus on the fact that consensus from stakeholders determines the state’s final decision.

Arkansas made several revisions to its Transition Plan as part of the response to concerns CMS raised in its initial approval letter. One of the most substantial revisions Arkansas made was in providing clarity on how the state would ensure that beneficiaries have access to non-disability-specific settings, including employment.

For more information, read the final Arkansas approval letter.