OAAS Home and Community-Based Services Settings Transition Plan
The Centers for Medicare and Medicaid Services (CMS) has 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 HCBS in settings that are integrated in and support full access to the greater community. The Office of Aging and Adult Services (OAAS) has developed a transition plan for the purpose of ensuring that HCBS settings within the Adult Day Health Care (ADHC) and Community Choices Waivers (CCW) meet the requirements of the rule and to allow the public an opportunity to provide input on the transition. Comments or questions may be sent to OAAS.Inquiries@LA.GOV.
Statewide Transition Plan (STP)
The Department of Health submitted a transition plan to CMS that explains how the state will bring its HCBS waivers into compliance with the new regulations. This plan was drafted through a collaborative effort by the Office of Aging and Adult Services, the Office of Behavioral Health, the Office for Citizens with Developmental Disabilities, and Medicaid.
After the CMS review in the late summer 2016, Louisiana amended the Statewide Transition Plan (STP) to include information about the systemic assessment review of state statutes, waivers, policy and procedures and other documentation. The revised STP was made available to the public on September 14, 2016 in both an electronic version posted on the LDH program offices websites and by hardcopy which was provided upon request. Comments were due October 14, 2016. No comments were received.
The following version of the STP includes these revisions and was submitted to CMS for Initial Approval review on October 26, 2016.
CMS reviewed all states' Statewide Transition Plans and provided feedback to each state on specific issues requiring revision or clarification in the STP. Louisiana received the CMS feedback letter on October 15, 2015, and addressed the CMS issues in the document titled "LA Response to CMS STP Feedback Letter 12-18-15". This feedback letter refers to Appendices which contain more detailed information, and this is found in the link "Appendices for LA Response to CMS STP Feedback Letter 12-18-15". In addition, corresponding revisions were made 12-18-15 to the STP ("Revised LA STP with Tracked Changes 12-18-15") and the Current Work Plan Master ("Current Louisiana STP Work Plan Master Updated 12-18-15"). These four documents were submitted to CMS December 18, 2015.
- LA Response to CMS STP Feedback Letter 12-18-15
- Appendices for LA Response to CMS STP Feedback Letter 12-18-15
- Revised LA STP with Tracked Changes 12-18-15
- Current LA STP Work Master Updated 12-18-15
Quarterly Updates to CMS
HCBS Rules Fact Sheet
Row Amendment pending CMS approval (LA.0472.R01.02)