HCBS

Status

In October 2014, DHS and OHA submitted the first Global Transition Plan to CMS. The Transition Plan defined the key activities that DHS and OHA would complete to ensure that Oregon’s HCBS delivery systems are in compliance with the regulations. It also defined 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. In April 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 in October and November 2015. Oregon received further requests from CMS for additional information and OHA/DHS submitted revisions in April and October 2016.

On November 2, 2016, Oregon received initial approval of its Statewide Transition Plan. In May 2017, 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. Non-electronic versions of the Statewide Transition Plan and heightened scrutiny evidence packages may be requested by email to HCBS.Oregon@state.or.us, or by mail at DHS APD HCBS, 500 Summer St NE E-10, Salem, OR 97301.

On November 15, 2018, Oregon updated its Statewide Transition Plan and posted the amended draft for public comment. This draft version of the Transition Plan includes a reorganization of the information within the plan to make it easier to understand. Additionally, this version addresses questions raised by the public, Stakeholders from all three program areas [i.e., DHS Aging and People with Disabilities' (APD), DHS Office of Developmental Disabilities Services' (ODDS), and OHA Health Systems Division's (HSD)], and CMS suggestions for clarification. The draft Transition plan was posted on DHS and OHA websites, and paper copies were provided upon request. Public comments on this version were requested through December 17, 2018.

On December 27, 2018, Oregon submitted the amended Statewide Transition Plan, with public comments and their responses, to CMS for review and approval.