The Centers for Medicare and 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 purpose of these regulations is to ensure that individuals receive Medicaid-funded 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.

States must ensure that their service providers are in compliance with the regulations no later than March 2019. To move each state’s HCBS system into compliance, states must submit a Global Transition Plan detailing the steps the state will take to meet the deadline.

How do I...


The Oregon Health Authority and Department of Human Services provided Home and Community-Based Services (HCBS) Regional Educational Forums for adult consumers and family of child consumers, as well as Providers of services for adults and children, around the State from August 2015 through October 2015.

On November 19, 2015, Oregon’s Department of Human Services (DHS) and Oregon Health Authority (OHA) submitted the revised Global Transition Plan to CMS. While DHS and OHA wait for CMS’ approval of the Transition Plan, DHS and OHA are moving forward with the action steps that are detailed in the Transition Plan.​


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

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