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Home and Community-Based Services

Home and community-based services (HCBS) provide opportunities for Medicaid beneficiaries to receive services in their own homes or communities rather than institutions or other isolated settings.

These programs serve people with intellectual or developmental disabilities, physical disabilities and/or mental illnesses.

Oregon's Transition PlanProgramsResourcesQuestions, comments and contacts

Oregon's transition plan

All states that operate Medicaid-funded HCBS programs were required to submit HCBS Transition Plans to the Centers for Medicare and Medicaid Services (CMS) to demonstrate how they will bring their HCBS systems into compliance with federal regulations. 

​Oregon received final approval of its Statewide Transition Plan on Feb. 27, 2019. 

​In October 2014, ODHS and OHA submitted the first Global Transition Plan to CMS. The Transition Plan defined the key activities that ODHS 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 ODHS and OHA and asked for changes to the Transition Plan. In April 2015, ODHS and OHA submitted the revised Global Transition Plan to CMS. CMS requested additional revisions in September 2015 and November 2015. ODHS and OHA submitted the requested revisions in October and November 2015. Oregon received further requests from CMS for additional information and OHA/ODHS submitted revisions in April and October 2016.

On Nov. 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 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 were ODHS Aging and People with Disabilities' (APD), ODHS 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 below. 

On Nov. 15, 2018, Oregon updated its Statewide Transition Plan and posted the amended draft for public comment. This draft version of the Transition Plan included a reorganization of the information within the plan to make it easier to understand. Additionally, this version addressed questions raised by the public, partners and CMS suggestions for clarification. The draft Transition plan was posted on ODHS and OHA websites, and paper copies were provided upon request. Public comments on this version were requested through Dec. 17, 2018.

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

On Feb. 27, 2019, CMS approved Oregon’s Statewide Transition Plan.



Public Input

Individually-Based Limitation (IBL) Tools

​Provider Specific


    Children's Services

    General Information

    Heightened Scrutiny

    Individually-Based Limitations (IBLs)

    Onsite Assessments

    Provider Status Reports

    Residency Agreements

    Request for Additional Time for Sheltered Workshop Providers

    Trainings and Technical Assistance


    Information for Oregonians who want to know how Oregon is implementing HCBS, tools to help providers move toward full compliance with the new regulations, guidance from Centers for Medicare and Medicaid Services (CMS) and national advocacy resources.

    Questions, comments and contacts

    ​While Oregon's final Transition plan was approved on Feb. 27, 2019, all individuals receiving HCBS services, family members, advocates, providers, delivery system representatives and the broader community may send comments or concerns to ODHS or OHA at any time. Email us at​.

    ​Contacts by topic:

    • ​​HCBS providers of services to individuals covered by Medicaid with questions about a resident's IBL should contact the resident's Medicaid Case Manager directly.