An official website of the State of Louisiana.
Official Louisiana State Websites use .la.gov A .la.gov website belongs to an official
Secure .gov websites use HTTPS A lock () or https:// means you've safely
1915(C) HCBS Waiver Amendment Dental Benefit Program
Children's Choice (CC) Waiver
Posting from Febaury 1, 2023 - March 2, 2023
Request for an Amendment for an 1915(c) LA.022.04.04 - October 1, 2023
The Louisiana Department of Health (LDH) intends to submit CC Waiver amendment to Centers for Medicare & Medicaid Services (CMS). Implementation of the provisions of this proposed waiver Amendement is contingent upon CMS approval.
The entire draft application will be posted for public comment from Febaury 1, 2023 until March 2, 2023. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Children's Choice Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the local governing entity (LGE) in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is March 2, 2023 by 4:30 p.m.
Posting from November 24, 2021 - December 24, 2021
Request for an amendment for an 1915(c) HCBS Waiver: Draft (LA.022.04.03)
LDH intends to submit CC Waiver amendment to CMS. Implementation of the provisions of this proposed waiver amendement is contingent upon CMS approval.
The entire draft application will be posted for public comment from November 24, 2021 until December 24, 2021. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Children's Choice Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is December 24, 2021 by 4:30 p.m.
Posting from October 30, 2019 - November 29, 2019
LDH intends to submit an amendment to the CC Waiver application (LA.0361.R04.00) to CMS. LDH proposes to update the Waiver cap from $16,410 to $17,500, remove sub-specialties from Music Therapy, Art Therapy and Therapeutic Horseback Riding and add each therapy as its own provider type. Implementation of the provisions of this waiver amendment is contingent upon CMS approval.
The entire draft application will be posted for public comment from October 30, 2019 until November 29, 2019. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Children’s Choice Waiver Program Manager, or by email to ocdd-hcbs@la.gov. Please indicate CC Waiver comments in the subject line of the email. The deadline for receipt of all written comments is November 29, 2019 by 4:30 p.m.
A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134, or by calling 866-783-5553.
Children's Choice Waiver Public Notice Amendment
The CC Waiver application (LA.022.04.00) is open for public comment. Public comments will be accepted from December 19, 2018 until Janauary 18, 2019.
A hard copy of the renewal application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553.
Interested persons may submit written comments to: The Office for Citizens with Developmental Disabilities, P. O. Box 3117 (Bin #21), Baton Rouge, Louisiana 70821-3117, Attention: Children’s Choice Waiver Manager, or by email to: ocdd-hcbs@la.gov. The deadline for receipt of all written comments is January 18, 2019 by 4:30 p.m.
The following CC Waiver draft renewal application will be submitted to CMS with a potential effective date of July 1, 2019.
The draft CC amendment application (LA 0361.03.02) will be posted for public comment from September 20, 2017- October 20, 2017. Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, Attention: Children’s Choice Waiver Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553.
The deadline for receipt of all written comments is October 20, 2017 by 4:30 p.m.
The following information will be posted for comment from August 3, 2016 - September 2, 2016: Please forward ALL comments related to the CC Waiver amendment to Tanya.Murphy@la.gov
CC Waiver Amendment Pending CMS approval (LA.022.03.02) (August 2016)
New Opportunities Waiver (NOW)
Posting from February 1, 2023 - March 2, 2023
Request for an Amendment for 1915(c) HCBS Waiver: Draft LA.007.04.02 - October 1, 2023
LDH intends to submit NOW application to CMS. Implementation of the provisions of this proposed waiver application is contingent upon CMS approval.
The entire draft application will be posted for public comment from February 1, 2023 until March 2, 2023. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention New Opportunities Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is March 2, 2023 by 4:30 p.m.
Posting from November 24, 2021 - Decemebr 24, 2021
Request for an Amendment for an 1915(c) HCBS Waiver: Draft (LA.0401.R04.01)
LDH intends to submit NOW amendment to CMS. Implementation of the provisions of this proposed waiver amendment is contingent upon CMS approval.
The entire draft application will be posted for public comment from November 24, 2021 - Decemebr 24, 2021. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention New Opportunities Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is Decemebr 24, 2021 by 4:30 p.m.
Posting from July 21, 2021 - August 20, 2021
Application for 1915(c) HCBS Waiver: Draft (LA.007.04.00)
LDH intends to submit NOW renewal to CMS. Implementation of the provisions of this proposed waiver renewal is contingent upon CMS approval.
The entire draft application will be posted for public comment from July 21, 2021 until August 20, 2021. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention New Opportunities Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is August 20, 2021 by 4:30 p.m.
Posting from October 22, 2020 - November 22, 2020
LDH intends to submit an amendment to the NOW application to CMS. Implementation of the provisions of this proposed waiver amendment is contingent upon CMS approval.
The entire draft application will be posted for public comment from October 22, 2020 until November 22, 2020. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention New Opportunities Waiver Program Manager, or by email to ocdd-hcbs@la.gov. The deadline for receipt of all written comments is November 22, 2020 by 4:30 p.m.
Posting from April 10, 2019 - May 10, 2019
LDH intends to submit an amendment to the NOW application (LA.0401.R03.03) to CMS. LDH proposes to add a supplemental payment to providers for supporting individuals with complex medical and behavioral needs. Implementation of the provisions of this waiver amendment is contingent upon CMS approval.
The entire draft application will be posted for public comment from April 10, 2019 until May 10, 2019. Click “here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention New Opportunities Waiver Program Manager, or by email to ocdd-hcbs@la.gov. Please indicate NOW comments in the subject line of the email. The deadline for receipt of all written comments is May 10, 2019 by 4:30 p.m.
A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134, or by calling 866-783-5553.
The draft NOW amendment application (LA 0401) will be posted for public comment August 29, 2018 through September 28, 2018. Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, Attention: Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is September 28, 2018 by 4:30 p.m.
The amendment is seeking approval from the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) to add a new service for individuals with complex medical and behavioral needs.
Posting from September 20, 2017 - October 20, 2017
The draft NOW amendment application (LA 0401.03.02) will be posted for public comment from September 20, 2017 until October 20, 2017. Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, Attention: New Opportunities Waiver Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is October 20, 2017 by 4:30 p.m.
Posting from August 3, 2016 - September 12, 2016
The following information will be posted for comment from August 3, 2016 - September 12, 2016: Please forward ALL comments related to the NOW Waiver Renewal to Kim.Kennedy@la.gov
The comment period for the NOW renewal has been extended to September 12, 2016 due to recent flood events.
Residential Options Waiver (ROW)
Posting from March 31, 2023 - April 30, 2023
Request for an amendment for an 1915(c) LA.006.03.04 effective July 1, 2023.
LDH intends to submit Supports Waiver (SW) amendment to CMS. Implementation of the provisions of this proposed waiver amendment is contingent upon CMS approval.
The entire draft application will be posted for public comment from March 31, 2023 - April 30, 2023. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Supports Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is April 30, 2023by 4:30 p.m.
Request for Renewal for a 1915(c) HCBS Waiver: Draft (LA.005.03.00)
LDH intends to submit the Residential Options Waiver (ROW) renewal to CMS. Implementation of the provisions of this proposed waiver renewal is contingent upon CMS approval.
The entire draft application will be posted for public comment from November 4, 2022 until December 4, 2022. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Residential Options Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is December 4, 2022 by 4:30 p.m.
Request for an amendment for an 1915(c) HCBS Waiver: Draft (LA.005.02.03)
LDH intends to submit NOW amendment to CMS. Implementation of the provisions of this proposed waiver amendment is contingent upon CMS approval.
The entire draft application will be posted for public comment from November 24, 2021 until December 24, 2021. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Residential Options Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is December 24, 2021by 4:30 p.m.
Posting from March 25, 2020 - April 25, 2020The entire draft application will be posted for public comment fromMarch 25, 2020 until April 25, 2020. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Residential Options Waiver Program Manager, or by email to ocdd-hcbs@la.gov. The deadline for receipt of all written comments is April 25, 2020 by 4:30 p.m.
Posting from April 10, 2019 - May 10, 2019
LDH intends to submit an amendment to the ROW application (LA.0005.02.01) to CMS. Implementation of the provisions of this proposed waiver amendment is contingent upon CMS approval.
The entire draft application will be posted for public comment from April 10, 2019 until May 10, 2019. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Residential Options Waiver Program Manager, or by email to ocdd-hcbs@la.gov. The deadline for receipt of all written comments is May 10, 2019 by 4:30 p.m.
A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134, or by calling 866-783-5553.
Posting from March 16, 2018 - April 14 ,2018
The ROW draft renewal application(LA.005.02.00) is open for public comment. Public comments will be accepted from March 16, 2018 until April 14, 2018 .
Interested persons may submit written comments to: The Office for Citizens with Developmental Disabilities, P. O. Box 3117 (Bin 21), Baton Rouge, Louisiana 70821-3117, Attention: Residential Options Waiver Manager, or by email to: ocdd-hcbs@la.gov.
A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134/n/137 or by calling 866-783-5553.
The deadline for receipt of all written comments is April 14, 2018 by 4:30 pm.
The following ROW draft renewal application will be submitted to CMS with a potential effective date of July 1, 2018. It is broken into three parts for your review.
Posting from September 20, 2017 - October 20, 2017
The draft ROW amendment application (LA 0472.01.05) will be posted for public comment from September 20, 2017 until October 20, 2017. Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, Attention: Residential Options Waiver Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is October 20, 2017 by 4:30 p.m.
The following information will be posted for comment from June 15, 2016 - July 29, 2016: Please forward ALL comments related to the ROW amendment to Jeannathan.Anderson2@la.gov
ROW amendment pending CMS approval (LA.0472.R01.02)(June2016)
This draft document with the tables is provided for the reader's convenience. See Part 1, Attachment #1 of the Amendment on pages 11 of 196, 12 of 196 and the top of page 196, which are related to the OAAS Community Choice (CCW) and the Adult Day Healthcare (ADHC) waiver recipients who have a OCDD Statement of Approval (SOA) moving into OCDD's ROW-(June 2016)
Supports Waiver (SW)
Postings from Novemebr 4, 2022 - Decemebr 4, 2022
Request for an Amendment for a 1915(c) HCBS Waiver: Draft (LA.006.03.03)
LDH intends to submit the SW amendment to CMS. Implementation of the provisions of this proposed waiver amendment is contingent upon CMS approval.
The entire draft application will be posted for public comment from Novemebr 4, 2022 until Decemebr 4, 2022. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Supports Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is Decemebr 4, 2022 by 4:30 p.m.
Request for an amendment for an 1915(c) HCBS Waiver: Draft (LA.006.03..02)
LDH intends to submit SW renewal to CMS. Implementation of the provisions of this proposed waiver Renewal is contingent upon CMS approval.
The entire draft application will be posted for public comment from November 24, 2021 until December 24, 2021. Click here to see the application.
Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, attention Supports Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region, which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is December 24, 2021by 4:30 p.m.
Postings from December 19, 2018 - January 18, 2019
The draft SW renewal application (LA.006.03.00) will be posted for public comment from December 19, 2018 until January 18, 2019. Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, Attention: Supports Waiver Program Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is January 18, 2019 by 4:30pm.
The following SW draft renewal application will be submitted to the U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) with a proposed effective date of July 1, 2019.
Postings from September 20, 2017 - October 20, 2017
The draft SW amendment application (LA 0453.02.02) will be posted for public comment from September 20, 2017 - October 20, 2017. Interested persons may submit written comments to the Office for Citizens with Developmental Disabilities, P.O. Box 3117 (Bin 21), Baton Rouge, LA 70821-3117, Attention: Supports Waiver Manager, or by email to ocdd-hcbs@la.gov. A hard copy of the application is available for viewing at the LGE in your region which can be found at http://new.dhh.louisiana.gov/index.cfm/page/134 or by calling 866-783-5553. The deadline for receipt of all written comments is October 20, 2017 by 4:30 p.m.
The Supports Waiver Application Amendment is broken into three parts for your review.
Supports Waiver Application Amendment Part 1 : Main Module and Appendix A-B
Supports Waiver Application Amendment Part 2: Appendix C- G
Supports Waiver Application Amendment Part 3: Appendix H- J and Quality Improvement Section
Louisiana Statewide Transition Plan (STP):
In compliance with CMS requirements, LDH is planning to submit the final transition plan to CMS that explains how the state will bring its HCBS waivers into compliance with the new regulations. The department has determined that it is necessary to update the statewide transition plan and hereby gives public notice of the intent to submit the updated transition plan to CMS for final approval. The update to the statewide transition plan is contingent on CMS approval.
LDH invites you to review and comment on our updated HCBS Statewide Transition Plan addendum. To request a hard copy, email OCDD-hcbs@la.gov or call (225) 342-0095. You may submit comments electronically to OCDD-hcbs@la.gov with STP Public Notice Comments in the Subject line or by mail to:
Office for Citizens with Developmental Disabilities
Attention: STP Public Notice Comments
Post Office Box 3117
Baton Rouge, LA 70821-3117
The deadline for receipt of all written comments is May 22, 2022 by 4:30 pm.
ICF/IID Request for Information
November 6, 2020
LDH's Office for Citizens with Developmental Disabilities (OCDD) is submitting a Request for Information (RFI) for the purpose of gathering information from qualified Intermediate Care Facilities for Individuals with Intellectual/Developmental Disabilities (ICF/IIDs) in Louisiana to serve 23 individuals with high risk behaviors and complex behavioral support needs. Providers responding with interest should outline demonstrated capacity and competency to timely support and provide treatment, medical services, assistance with activities of daily living, and related and necessary services to the identified individuals. Providers who are awarded a CEA will be required to support the 23 individuals identified by LDH in need of emergency placement beginning December 31, 2020.
Louisiana Statewide Transition
CMS has reviewed all States' Statewide Transition Plans (STP) and provided feedback to each state on specific issues requiring revision or clarification in the STP. Louisiana received the CMS feedback letter October 15, 2015 and addressed the CMS isues 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 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.
Louisiana submitted the final draft of Louisiana's STP to CMS on March 17, 2015. This plan is inclusive of Office of Behavioral Health, OAAS, and OCDD.
Any comments regarding Louisiana's STP must be received by April 30, 2015 and can be sent to OCDD-hcbs@la.gov
OCDD Home and Community-Based Public Forums
OCDD will hold two public forums involving the impact of the Home and Community-Based Settings (HCBS) Final Rule and Transition Plan. To view details regarding these events, please click here.
PowerPoint presentation from Public Forums on February 11, 2015 and February 20, 2015
OCDD HCBS-Based Services Settings Rule
WEBINAR: BIG PICTURE:COMING INTO COMPLIANCE WITH CMS SETTINGS RULE
Home and Community-Based Services Setting Transition Plans for other LDH offices.
Information from the OCDD HCBS meeting held Monday, November 17 from 1 p.m. to 3 p.m.
OCDD Home and Community-Based Documents for Public Review and/or Input
Please provide any comments and/or input regarding ROW by November 18, 2015 and sent to: ocdd-hcbs@la.gov
Note: To ensure clarity - Please note that we have posted as separate document, the draft ROW transition implementation plan to facilitate the OAAS CCW and ADHC transition individuals who have OCDD SOA's.
The Notice of Intent related to the creation of a reserved capacity group for individuals with a developmental disability and who have a SOA for the Office of Citizens with Developmental Disability Services and who currently are enrolled in either OASS' Community Choice or Adult Day Health Care Wavier and to add the AdHC sevice to the ROW has been published in the October 20, 2015 LA Register page 2228 and 2229 at http://www.doa.la.gov/Pages/osr/reg/regs2015.aspx
Any comments and/or input must be received by December 17, 2014 and may be sent to ocdd-hcbs@la.gov.
Please note that the public comment period has been extended through February 27, 2015 for the SW and March 12, 2015 for the ROW. (Comment period is now closed)
DRAFT-Amendment to the ROW: Application for a 1915(c) Home and Community-Based Services Waiver (due to the size of the document,it is broken down into four parts)
OCDD Home and Community-Based Services Setting Provider Self-Assessment Tools
Any comments and/or input regarding either the residential and/or non-residential provider self-assessment tools must be received by April 18, 2015 and sent to: OCDD-hcbs@la.gov
Archives
OCDD Home and Community-Based Documents for Public Review and/or Comment
In compliance with CMS requirements, LDH submitted a transition plan to CMS that explains how the state will bring its HCBS waivers into compliance with the new regulations. LDH determined that it was necessary to update our statewide transition plan (STP) and hereby gives public notice of its intent to submit the updated transition plan and addendum to CMS. The update to the statewide transition plan is contingent on CMS approval.
LDH invites you to review and comment on our updated HCBS statewide transition plan and addendum that are posted below. Each Local Governing Entity (LGE) will have a hard copy available for review. LGE contact information is located at: http://new.dhh.louisiana.gov/index.cfm/page/134.
LA State Transition Plan (Jan 2020)
Interested persons may submit written comments to:
Office for Citizens with Developmental Disabilities
c/o Rosemary Morales
Post Office Box 3117, Bin #21
Baton Rouge, LA 70821
The deadline for receipt of all written comments is March 30, 2020 by 4:30 p.m.
Quarterly Updates
Louisiana Statewide Transition Plan (STP)
'The Louisiana STP Addendum (August, 2019) is in response to CMS' inquiry dated April 4, 2018. The addendum contains the responses from each LDH program office - OBH, OAAS, and OCDD. The update to the statewide transition plan is contingent on CMS approval. The document is 508 compliant.''
'LA Statewide Transition Plan Addendum (August, 2019)')
Each LGE will have a hard copy available for review. LGE contact information is located at
http://new.dhh.louisiana.gov/index.cfm/page/134
You can submit comments electronically to ocdd-hcbs@la.gov or by mail to:
Office for Citizens with Developmental Disabilities
c/o Rosemary Morales
Post Office Box 3117, Bin # 21
Baton Rouge, Louisiana 70821
The comment period ends at close of business March 25, 2018
--------------------------------------------------------------------------------------------------------------------------------------------------------
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 for Citizens with Developmental Disabilities (OCDD) has developed a transition plan to evaluate HCBS settings within the Children's Choice Waiver, Residential Options Waiver, Supports Waiver, and the New Opportunities Waiver to assure that the requirements of the rule are being met and to allow the public an opportunity to provide input on the transition plan. Comments or questions may be sent to ocdd-hcbs@la.gov
Annoucement: The Louisiana Statewide Transition Plan Receives CMS Initial Approval March 3, 2017
In March of 2014, CMS established the HCBS Settings Rule about HCBS provided through several Medicaid authorities. The rule enhances the quality of HCBS, provides additional protections to HCBS program participants, and ensures that individuals receiving services through HCBS programs have full access to the benefits of community living.
CMS expects all states to review current HCBS programs and to develop a transition plan detailing site assessment processes, assessment of policies/regulations/rules, correction strategies, and timelines for compliance with the HCBS Settings Rule. LDH program offices, i.e. Office of Aging and Adult Services (OAAS), Office of Behavioral Health (OBH), and OCDD created a comprehensive Statewide Transition Plan (STP) and this initial STP was submitted to CMS for review and approval in March, 2015. In October, 2015, CMS responded to Louisiana’s STP with a request for more detailed information on the site assessments, systemic assessment of rules/regulations/policies, monitoring of settings, relocation of participants, and Heightened Scrutiny process. Through guidance from CMS, Louisiana submitted a revised version of the STP addressing these issues on December 18, 2015.
In June, 2016, CMS requested supplemental information (site-specific assessment process/results; site-specific remediation activities; relocation of participants; Heightened Scrutiny; ongoing monitoring and compliance) be included in the STP in order to earn Initial Approval. In addition, on August 12, 2016 CMS provided feedback to Louisiana on the systemic assessment crosswalk of rules/regulations/policies and requested further information/clarifications. Louisiana incorporated the requested information and corrections into the STP and submitted this revised version to CMS October 26, 2016.
Louisiana received notification of STP initial approval via email from CMS with the attached approval letter on March 3, 2017. In order to receive final approval of the STP, Louisiana must complete remaining steps and submit an updated STP. These steps include: completion of comprehensive site-specific assessments with implementation of strategies for validating results; identifying remediation strategies and timelines for resolution of site-specific settings issues; establishing a detailed process for sites requiring CMS Heightened Scrutiny; developing a process for communicating with participants who need to be relocated; and establishing ongoing monitoring of settings to ensure continuing compliance. CMS will also be providing Louisiana with technical issues that must be resolved prior to final approval of the STP.
Once these revisions are complete and prior to submission to CMS, Louisiana will issue the updated STP for a minimum 30-day public comment period.
Quarterly Updates
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
After the CMS review in the late summer, Louisiana amended the STP to include robust information about the systemic assessment review of state statutes, waivers, policy and procedures and other documentation. Minor adjustments were made in the areas of work plans and other activities. Due to a weather disaster, CMS granted the state an additional 30 days for public comments. 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. LDH received no comments.
The following version of the STP includes these revisions and was submitted to CMS for initial approval review on October 26, 2016.
OCDD is committed to engaging stakeholders throughout the process of coming into compliance with CMS final rule related to HCBS settings. This posting is the latest version of the Louisiana STP for stateholder review. It will be submitted to CMS by October 30, 2016. Each LGE will have a hard copy available for review. LGE contact information is located at http://new.dhh.louisiana.gov/index.cfm/page/134
You can submit comments electronically to ocdd-hcbs@la.gov or by mail to:
Office for Citizens with Developmental Disabilities
c/o Christy Johnson
Post Office Box 3117,Bin #21
Baton Rouge, Louisiana 70821
The comment period ends at Close of Business October 14, 2016
The following information will be posted for comment from April 20, 2016 - May 20, 2016:
Participant Experience Survey
Crosswalk Residential HCBS requirement to Provider-Self Assessment and Participant Experience Survey
Crosswalk Non-Residential HCBS Requirement to Provider Self-Assessment and Participant Experience Survey
Row Amendment pending CMS approval (LA.0472.R01.02)
Draft: ROW amendment application LA.005.01.03 (ROW). This is a draft copy of Louisiana's Application to amend its 1915 (c) HCBS ROW. (November 2015)
DRAFT-OCDD Home and Community-Based Setting Transition Summary/Description (February 2015)
DRAFT-OCDD Home and Community-Based Services Setting Residential Options Waiver Transition Plan (February 2015)
DRAFT-OCDD Supports Waiver Transition Plan (February 2015)
Draft-Supports Waiver Application for a 1915 (c) Home and Community-Based Services Waiver (February 2015)
DRAFT-Amendment to the ROW application for a 1915 (c) HCBS SW (February 2015)
OCDD held two public forums involving the impact of the HCBS Final Rule and Transition Plan. To view details regarding these events, please click here.