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 2022. To move each state’s HCBS system into compliance, states must submit a Statewide Transition Plan detailing the steps the state will take to meet the deadline. Oregon requested an extension and amended the Transition Plan to include further details requested by CMS. On February 27, 2019, CMS gave Oregon Final approval of the Statewide Transition Plan. The letter and plans may be viewed on Oregon’s HCBS Transition Plan website​​.

How do I...


The Centers for Medicare & Medicaid Services (CMS) have offered States an additional three years to come into full compliance with the Home and Community-Based Services (HCBS) and Settings regulations. The Department of Human Services (DHS) and the Oregon Health Authority (OHA) are officially requesting that CMS grant Oregon the additional three years in the Statewide Transition Plan that was submitted to CMS on August 1, 2017.

The two agencies appreciate receiving public comments on the amended plan, which has been posted on the Oregon’s HCBS Transition Plan web page. While Oregon’s final Transition Plan was approved February 27, 2019, all individuals receiving HCBS services, family members, advocates, providers, delivery system representatives and the broader community may send comments or concerns to DHS or OHA at any time.


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

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