Georgia Medicaid Comprehensive Supports Waiver Program (COMP) Renewal Implementation FAQs

“On February 23, 2017, the Centers for Medicare and Medicaid Services (CMS) approved renewal of the Comprehensive Supports Waiver Program (COMP) through March 31, 2021. The renewal reflects collaborative work by the Georgia Departments of Behavioral Health and Developmental Disabilities (DBHDD) and Community Health (DCH) over a two-year period involving an in-depth review of services requirements, a complex rate study, and a one-year needs analysis of all waiver participants served in community residential settings.”

Links:

Georgia Medicaid COMP Renewal Implementation FAQs

DC Statewide Transition Plan for Medicaid Home and Community-Based Services Waivers (2015)

“The Centers for Medicare & Medicaid Services (CMS) issued a final rule effective March 17, 2014, that contains a new, outcome-oriented definition of home and community-based services (HCBS) settings. The purpose of the federal regulation, in part, is to ensure that people 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 people who do not receive HCBS. CMS expects all states to develop an HCBS transition plan that provides a comprehensive assessment of potential gaps in compliance with the new regulation, as well as strategies, timelines, and milestones for becoming compliant with the rule’s requirements. CMS further requires that states seek input from the public in the development of this transition plan.”

Links:

DC Statewide Transition Plan for Medicaid HCBS Waivers
DC Statewide Transition Plan for Medicaid HCBS Waivers (PDF)

Washington State’s Statewide Transition Plan for New HCBS Rules (2017)

“The Washington State Health Care Authority (HCA, the state’s Medicaid Agency), the Department of Social and Health Services (DSHS) Aging and Long-Term Support Administration (ALTSA) and Developmental Disabilities Administration (DDA) submit this proposed transition plan in accordance with the requirements set forth in the Centers for Medicare and Medicaid Services new requirements for Home and Community-based Services (HCBS Final Rule 42 CFR Parts 430, 431, 435, 436, 441 and 447) that became effective March 17, 2014. Washington State fully supports the intent of the HCBS setting rules. Washington State has long been an advocate for providing services to clients in the most integrated home and community-based settings, and is a leader in providing clients with choices regarding the settings in which long-term services and supports are provided and will continue its partnership with participants, advocacy groups, stakeholders and Tribes.”

Links:

Washington State’s Statewide Transition Plan for New HCBS Rules (PDF)

Georgia Medicaid HCBS Transition Plan

“Georgia begins process to address new regulations issued by CMS for Home and Community Based Services. 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), otherwise known as waiver services. The purpose of these new regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated and that 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.”

Links:

Georgia Medicaid HCBS Transition Plan

DC Announcement Submitted to CMS: District of Columbia Plan to Comply… (2015)

“The Centers for Medicare and Medicaid Services (CMS) issued a final rule effective March 17, 2014, that contains a new, outcome-oriented definition of home and community-based services (HCBS) settings. The purpose of the federal regulation, in part, is to ensure that people 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 people who do not receive HCBS. CMS expects all states to develop an HCBS statewide transition plan that provides a comprehensive assessment of potential gaps in compliance with the new regulation, as well as strategies, timelines and milestones for becoming compliant with the rule’s requirements. CMS further requires that states seek input from the public in the development of this transition plan.

The District maintains two HCBS waiver programs: the Elderly and Persons with Disabilities (EPD) Waiver, run by the District’s Department of Health Care Finance (DHCF), and the Intellectual and Developmental Disabilities (IDD) waiver, run by the District’s Department of Disability Services (DDS). The EPD waiver program is for the elderly and individuals with physical disabilities who are able to safely receive supportive services in a home and community-based setting. The IDD waiver program provides residential, day/vocational and other support services in the community for District residents with intellectual and developmental disabilities.”

Links:

DC Announcement Submitted to CMS: District of Columbia Plan to Comply...

Kansas Medicaid Supports for Community Living Waiver

“The Supports for Community Living (SCL) waiver provides Medicaid-paid services to adults and children with intellectual or developmental disabilities. These supports allow individuals to live at home rather than in an institutional setting. “

Links:

Kansas Medicaid Supports for Community Living Waiver

Colorado Health First Medicaid Buy-in Program for Working Adults with Disabilities

“The Health First Colorado Buy-In Program for Working Adults with Disabilities lets adults with a disability who qualify to “buy-into” Health First Colorado (Colorado’s Medicaid Program). If you work and earn too much to qualify for Health First Colorado you may qualify. If you qualify, you pay a monthly premium. Your monthly premium is based on your income.

Who qualifies?
•You must be between 16 and 64 years old,
•You must be employed,
•You must have a qualifying disability. The Social Security Administration (SSA) listings describes what disabilities qualify, and
•Your income must be below 450% of the Federal Poverty Level (FPL). For example, you can make about $4,523 a month and qualify.”

Links:

Colorado Health First Medicaid Buy-in Program for Working Adults with Disabilities

Ohio Revised Code 5123:2-9-16 – Home and community-based services waivers

“This rule defines group employment support and sets forth provider qualifications, requirements for service delivery and documentation of services, and payment standards for the service. The expected outcome of group employment support is paid employment and work experience leading to further career development and competitive integrated employment.”

Links:

Ohio Revised Code 5123:2-9-16 - Home and community-based services waivers

Kentucky State Plan Under Title XIX of the Social Security Act (1990)

“The State Plan is the officially recognized statement describing the nature and scope of Kentucky’s Medicaid program. The State Plan includes the many provisions required by the Act, such as:

Methods of Administration
Eligibility
Services Covered
Quality Control
Fiscal Reimbursements.”

Links:

Kansas State Plan Under Title XIX of the Social Security Act (PDF)

Alabama Medicaid State Plan Proposed Amendments (2024)

Amendments to the State Plan (SPAs) are required when changes to amount, duration or scope of services, or eligibility requirements are proposed. This resource provides the current proposed amendments.

Links:

Alabama Medicaid State Plan Proposed Amendments