HCBS Waiver

Background: On January 16, 2014, the Centers for Medicare and Medicaid Services (CMS) issued a final rule for Home and Community-Based Settings (HCBS). The final rule, which became effective on March 17, 2014, amends the Medicaid regulations to provide requirements regarding person-centered plans of care, characteristics of settings that are home and community-based as well as settings that may not be home and community-based. These requirements reflect CMS’ intent that individuals receiving services and supports through Medicaid Waivers receive services in settings which are integrated in and support full access to the greater community. The final rule applies to section 1915(c) Medicaid waivers, section 1915(i) State Plan home and community-based services and section 1915(k) Community First Choice attendant care services [1915(k)]. Pennsylvania has 9 Medicaid home and community-based services waivers. All Medicaid Waivers must comply with these requirements. The final rule includes a provision requiring states offering HCBS under existing state plans or waivers to develop transition plans to ensure that HCBS settings will meet the final rule’s requirements 

HCBS Statewide Transition plan