Colorado HB 18-1326: Support For Transition From Institutional Settings

“Support For Transition From Institutional Settings
Concerning support for persons interested in transitioning from an institutional setting, and, in connection therewith, making and reducing appropriations.

The bill directs the department of health care policy and financing (department) to provide community transition services and supports to persons who are in an institutional setting, who are eligible for Medicaid, and who desire to transition to a home- or community-based setting (eligible persons). The services and supports must be available to eligible persons who transitioned from an institutional setting for up to one year.

The bill requires the department to submit an annual report to specified committees of the general assembly on the effectiveness of providing the services and supports.”

Arkansas Waiver Association

“The Arkansas Waiver Association is a not-for-profit corporation guided by a Board of Directors who serve without compensation of any kind. The AWA Board is comprised of individuals who receive Waiver services, families of individuals who receive Waiver services, and professionals who work for developmental disability community providers. Our membership is from the same groups.

We seek to improve the quality of life for individuals with a developmental disability and their families through active advocacy, open communications, and an exchange of professional ideas.”

Kentucky Medicaid 1915(c) HCBS Waiver Redesign Project FAQs (2019)

“The Department for Medicaid Services (the Department) on behalf of the Cabinet for Health and Family Services (the Cabinet) is publishing this Frequently Asked Questions (FAQs)document to provide timely updates and respond to stakeholder questions about redesign of the Cabinet’s 1915(c) Home and Community Based Services (HCBS) waivers. The questions included in this FAQs document are a combination of submitted questions from stakeholders and anticipated questions identified by the Department.”

Illinois DHS Person Centered Planning Policy and Guidelines for DD Waiver Services

“Federal Home and Community Based Services Regulations

The Centers for Medicare and Medicaid Services (CMS) published Home and Community Based Services (HCBS) Regulations on January 16, 2014. These Regulations became effective on March 17, 2014 and impact all 1915c HCBS Waivers.  In Illinois, this is relevant to all three Developmental Disability (DD) HCBS Medicaid Waivers: Children’s In Home Support Waiver, Children’s Residential Waiver, and the Adult Waiver. The Regulations include Conflict of Interest Free Case Management and Person Centered Planning. These regulations, as outlined below, apply to people who are in any of the Medicaid Waivers programs listed above.”

Connecticut Statewide Transition Plan for Alignment with the Home and Community Based Services (HCBS)

“In January 2014, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for home and community-based services (HCBS) that requires states to review and evaluate home and community based (HCB) settings, including residential and non-residential settings. Connecticut developed a Statewide Transition Plan (STP), Connecticut Statewide Transition Plan for Alignment with the Home and Community Based Services (HCBS) Final Regulation’s Settings Requirements to determine compliance with the HCB settings requirements. The STP has been updated several times to respond to CMS issues. …
In correspondence dated October 21, 2016, CMS granted initial approval of the STP. However, CMS noted additional issues that need to be addressed before final approval can be granted. This amendment addresses the outstanding issues identified by CMS It is important to note that this amendment does not replace the STP. Instead it is a supplement to and builds on the STP and demonstrates the evolution of the State’s activities to determine compliance with all applicable federal requirements. The amendment should be viewed along with the STP to provide the comprehensive picture of Connecticut compliance activities.”

Delaware SCR 70 Creating a Medicaid Buy-In Study Group

This Senate Concurrent Resolution creates a Medicaid Buy-In Study Group to study the adoption of an expanded Medicaid Buy-In program that would allow Delawareans with incomes above 138% of the Federal Poverty Level to purchase insurance coverage through the Medicaid program.

Pennsylvania HCB Waiver for Individuals Aged 60 and Over (terminated)

“WAIVER TERMINATED on 12/31/2019 – Provided adult daily living services, personal assistance services, respite, service coordination, counseling services, home health aide, nursing services, occupational therapy services, physical therapy services, specialized medical equipment and supplies, speech and language therapy services, assistive technology, community transition services, home adaptations, home delivered meals, non-medical transportation, nutritional consultation services, participant-directed community supports, participant-directed goods and services, personal emergency response service, and telecare services to individuals ages 65 or older and individuals with physical disabilities ages 60-64 years who met a nursing facility level of care.”

West Virginia Medicaid: Methodology for Waiver Transition Plan Application (2018)

“This review has been conducted in two sections. To begin the transition plan development process, BMS conducted a review of the HCBS services provided by the current West Virginia waivers impacted by the new rule (Exhibit 1) as well as the waivers’ supporting documentation (operation manuals, authorizing legislation, waiver applications, etc.). The State used CMS guidance documents, particularly “Summary of Regulatory Requirements for Home and Community Based Settings” to guide the analysis.”

Rhode Island Medicaid 1115 Waiver

“The Medicaid 1115 Waiver constitutes the legal authority granted to the State by federal government to pursue innovations that improve health care access, quality and outcomes and further the goals of the Medicaid and CHIP Programs.  The terms and conditions of the State’s Medicaid 1115 Waiver act as a contract that establishes the scope of the State’s flexibility under federal law relative to the Medicaid State Plan. To make changes to the Medicaid 1115 Waiver, the State must submit a request to CMS for review and approval.”