HCBS

All states that operate Medicaid-funded HCBS programs are required to submit a HCBS Transition Plan to the Centers for Medicare and Medicaid Services (CMS). The Transition Plan must demonstrate to CMS how the state will bring its HCBS system into compliance with the new federal regulations.

Status

In October 2014, DHS and OHA submitted the first Global Transition Plan to CMS. The Transition Plan defines the key activities that DHS and OHA will complete to ensure that Oregon’s HCBS delivery systems are in compliance with the regulations. It also defines that the Global Transition Plan will apply to all licensed, endorsed and certified providers. This includes but is not limited to:

  • Adult Day Programs
  • Adult Foster Homes
  • Assisted Living Facilities
  • Employment Programs
  • Group Homes
  • Residential Treatment Homes and Facilities

In February 2015, CMS responded to DHS and OHA and asked for changes to the Transition Plan. On April 24, 2015 DHS and OHA submitted the revised Global Transition Plan to CMS. CMS requested additional revisions in September 2015 and November 2015.  DHS and OHA submitted the requested revisions on October 1, 2015 and November 18, 2015. Oregon received further requests from CMS for additional information and OHA/DHS submitted revisions in April 2016 and October 2016​.

On 11/02/16, Oregon received initial approval of its Statewide Transition Plan. On 05/09/17, CMS afforded states the opportunity to extend the transition timeline for three additional years. Oregon has amended its plan to capture current transition processes, extend its compliance timeline, and answer questions raised by CMS to obtain final approval of the transition plan. Also included are DHS Aging and People with Disabilities' (APD), DHS Office of Developmental Disabilities Services' (ODDS), and OHA Health Systems Division's (HSD) evidence packages of sites identified as requiring CMS’ heightened scrutiny. This amended plan and the heightened scrutiny evidence packages are posted on this web page and available for Public Comment for 30 days, ending 07/17/17. Non-electronic versions of the Statewide Transition Plan and heightened scrutiny evidence packages may be viewed at the service delivery systems’ local field offices in your geographical area and at the Human Services Building at 500 Summer St. NE, Salem, OR 97301.

Public Notice and Comment Period

Oregon Department of Human Services, Oregon Health Authority Seek Public Comment on Amended Statewide Transition Plan and Heightened Scrutiny Evidence Packages for Medicaid Home and Community-Based Services Settings Regulations

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 Department of Human Services (DHS) and the Oregon Health Authority (OHA) have amended the Statewide Transition Plan as required by CMS to achieve final approval of the plan.

The two agencies are seeking public comment on the amended plan, which has been posted on this web page.

Non-electronic versions of the Statewide Transition Plan are posted in local service delivery field offices in your geographical area and may be viewed at the Human Services Building at the address listed below.

Request for Comments:

All individuals receiving HCBS services, family members, advocates, providers, delivery system representatives and the broader community are asked to review the Statewide Transition Plan and Heightened Scrutiny evidence packages and submit their comments to assist DHS and OHA in achieving final approval of the plan.

The purpose of the HCBS settings regulations is 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.

Deadline for Comments:

Please review and provide comments no later than July 17, 2017. Mailed responses must be received by this date in order to be considered. The final amended Statewide Transition Plan is due to CMS by August 1, 2017.

Send e-mail comments to: hcbs.oregon@state.or.us

Send written comments via mail to:
HCBS Transition Plan Comments
500 Summer Street NE, E09
Salem, OR 97301

Transition Plan Documents for Public Comment

  
06/15/17 OR STP with no track changes (Word)
06/15/17 OR STP with no track changes (PDF)
06/15/17 OR STP with track changes (Word)
06/15/17 OR STP with track changes (PDF)
OR STP Initial Approval Letter from CMS
APD Heightened Scrutiny Evidence Package - June 2017
APD Heightened Scrutiny Onsite Review Template - Nov 2016
APD Heightened Scrutiny Provider Letter and Worksheet - Sept 2016
HSD Heightened Scrutiny Evidence Package - June 2017
ODDS Heightened Scrutiny Evidence Package - June 2017
Press Release on Transition Plan and Public Comments

Plan Documents

  
Initial Approval of Oregon's Statewide Transition Plan - Nov 2016
Oregon's Revised Transition Plan with Technical Edits - Oct 2016
Oregon's Revised Transition Plan - Apr 2016
HCBS Global Scorecard - Non-Residential/Specialized Living - Sep 2015
Oregon's Revised Transition Plan - Nov 2015
Oregon's Revised Transition Plan - Oct 2015
Oregon's Revised Transition Plan - Apr 2015
Comments and Responses on Transition Plans - Oct 2014
Oregon's Initial Transition Plan - Oct 2014
HCBS Global Scorecard - Jul 2014

Questions?

Email us at HCBS.Oregon@state.or.us