HCBS Transition Plan | La Dept. of Health

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 into 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 Louisiana Department of Health (LDH) 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.

The Department determined that it was necessary to update our statewide transition plan and hereby gives public notice of its intent to submit the updated transition plan addendum to CMS. The update to the statewide transition plan is contingent on CMS approval.

The Public Comment period will be Friday, April 22, 2022 to Sunday, May 22, 2022.

If you would like a hard-copy to review, you may call 1-866-758-5035 (toll-free) to have one mailed to you. You may submit comments electronically to OAAS.Inquiries@LA.Gov or by mail to:

Office of Aging and Adult Services

C/O Melissa Ledoux

Post Office Box 2031; Bin #14

Baton Rouge, LA 70821-2031

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.

LA STP Revised September 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 on December 18, 2015.

Quarterly Updates to CMS

2017 Quarter 1 Progress Tracking for Louisiana Transition Plan

2016 Quarter 4 Progress Tracking for Louisiana Transition Plan

2016 Quarter 3 Progress Tracking for Louisiana Transition Plan

2016 Quarter 2 Progress Tracking for Louisiana Transition Plan

2016 Quarter 1 Progress Tracking for Louisiana Transition Plan

Current Louisiana Work Plan Master Update May 2016

2015 Quarter 4 Progress Tracking for Louisiana Transition Plan

2015 Quarter 3 Progress Tracking for Louisiana Transition Plan

2015 Quarter 2 Progress Tracking for Louisiana Transition Plan

Provider Self-Assessment

Adult Day Health Care (ADHC) Provider Self-Assessment