OCDD HCBS Documents for Public Review and/or Comment  - Archives

1915(C) HCBS Waiver Amendment Dental Benefit Program

 

Residential Options Waiver (ROW)

Request for Renewal for a 1915(c) HCBS Waiver: Draft (LA.005.03.00)

The Department of Health (LDH) intends to submit the Residential Options Waiver (ROW) Renewal to Centers for Medicare & Medicaid Services (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 Human Services District / Authority (HSD/A) 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.

   

Supports Waiver (SW)

Request for an Amendment for a 1915(c) HCBS Waiver: Draft (LA.006.03.03)

The Department of Health (LDH) intends to submit the Supports Waiver (SW) amendment to Centers for Medicare & Medicaid Services (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 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 Supports Waiver Program Manager, or by email to ocdd-hcbs@la.gov.  A hard copy of the application is available for viewing at the Human Services District / Authority (HSD/A) 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.

Children's Choice Waiver (CC)

Request for an Amendment for an 1915(c) HCBS Waiver: Draft (LA.022.04.03)

The Department of Health (LDH) intends to submit Children's Choice Waiver (CC) 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 11.24.2021 until 12.24.2021. 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 Human Services District / Authority (HSD/A) 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 12.24.2021 by 4:30 p.m

New Opportunities Waiver (NOW)

Request for an Amendment for an 1915(c) HCBS Waiver: Draft (LA.0401.R04.01)

The Department of Health (LDH) intends to submit New Opportunities Waiver (NOW) Amendment to Centers for Medicare & Medicaid Services (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 11.24.2021 until 12.24.2021. 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 Human Services District / Authority (HSD/A) 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 12.24.2021 by 4:30 p.m.

Residential Options Waiver (ROW)

Request for an Amendment for an 1915(c) HCBS Waiver: Draft (LA.005.02.03)

The Department of Health (LDH) intends to submit New Opportunities Waiver (NOW) Amendment to Centers for Medicare & Medicaid Services (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 11.24.2021 until 12.24.2021. 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 Human Services District / Authority (HSD/A) 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 12.24.2021 by 4:30 p.m.

 Supports Waiver (SW)

SW amendment application (LA.006.03.02) for public comment from November 24, 2021 through December 24, 2021.

Request for an Amendment for an 1915(c) HCBS Waiver: Draft (LA.006.03..02)

The Department of Health (LDH) intends to submit Supports Waiver (SW) Renewal to Centers for Medicare & Medicaid Services (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 11.24.2021 until 12.24.2021. 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 Human Services District / Authority (HSD/A) 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 12.24.2021 by 4:30 p.m.

Louisiana Statewide Transition Plan (STP):  

In compliance with CMS’ requirements, the Department of Health 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.

The Louisiana Department of Health 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 Louisiana Statewide Transition Plan for Compliance with the CMS Home and Community-Based Services Settings Rule

The deadline for Receipt of all written comments is May 22, 2022 by 4.30 pm.

ICf/IID Request for Information 

November 6, 2020

The Louisiana Department of Health (LDH) 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.

 
The Request for Information will be posted from November 6, 2020 until November 11, 2020.  Click here to read the RFI, and the draft Cooperative Endeavor Agreement (CEA). 
 
Interested providers may submit the requested documents via email to Julie Foster Hagan, Assistant Secretary for the Office for Citizens with Developmental Disabilities at julie.hagan@la.gov.  The documents must be received by November 11, 2020 at 4:30 P.M.

Children's Choice Waiver (CC)

The Louisiana Department of Health (LDH) intends to submit an amendment to the Children’s Choice Waiver application (LA.0361.R04.00) to Centers for Medicare & Medicaid Services (CMS). The Louisiana Department of Health 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 10/30/2019 until 11/29/2019.  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 CCW comments in the subject line of the email.  The deadline for receipt of all written comments is 11/29/2019 by 4:30 p.m.

A hard copy of the application is available for viewing at the Human Services District / Authority (HSD/A) in your region.  The HSD/A in your local region 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 Children’s Choice Waiver (CCW) Application (LA.022.04.00) is open for public comment.  Public Comments will be accepted from 12.19.2018 until 01.18.2019.

A hard copy of the renewal application is available for viewing at the Human Services District/Authority (HSD/A) in your region. The HSD/A in your region 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 January18, 2019 by 4:30 p.m.

The following Children’s Choice Waiver (CCW) draft renewal application will be submitted to CMS with a potential effective date of July 1, 2019. 

The Draft Children’s Choice  Amendment application (LA 0361.03.02) will be posted for public comment from 9.20.2017- 10.20.2017.  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 Human Services District / Authority (HSD/A) 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 08.03.2016 - 09.02.2016: Please forward ALL comments related to the CC Waiver Amendment to Tanya.Murphy@la.gov

Children's Choice Amendment Pending CMS approval (LA.022.03.02) (August 2016)

New Opportunities Waiver (NOW)

Application for 1915(c) HCBS Waiver: Draft (LA.007.04.00)

The Department of Health (LDH) intends to submit New Opportunities Waiver (NOW) Renewal to Centers for Medicare & Medicaid Services (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 7.21.2021 until 08.20.2021. 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 Human Services District / Authority (HSD/A) 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 08.20.2021 by 4:30 p.m.


The Department of Health (LDH) intends to submit an amendment to the New Opportunities Waiver (NOW) application to Centers for Medicare & Medicaid Services (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 10/22/2020 until 11/22/2020. 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 11/22/2020 by 4:30 p.m.


The Louisiana Department of Health (LDH) intends to submit an amendment to the New Opportunities Waiver (NOW) application (LA.0401.R03.03) to Centers for Medicare & Medicaid Services (CMS). The Louisiana Department of Health 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 4/10//2019 until 5/10/2019. 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 5/10/2019 by 4:30 p.m.

A hard copy of the application is available for viewing at the Human Services District / Authority (HSD/A) in your region.  The HSD/A in your local region can be found at http://new.dhh.louisiana.gov/index.cfm/page/134, or by calling 866-783-5553.


The Draft New Opportunities Waiver (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 Human Services District / Authority (HSD/A) 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.

The Draft New Opportunities Waiver (NOW)  Amendment application (LA 0401.03.02) will be posted for public comment from 9.20.2017- 10.20.2017.  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 Human Services District / Authority (HSD/A) 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 08.03.2016 - 09.12.2016: Please forward ALL comments related to the NOW Waiver Renewal to Kim.Kennedy@la.gov

  • NOW Application Part 1 - Major Changes, Appendix A - Waiver Admin and Operations, Appendix B - Level of Care
  • NOW Application Part 2 - Appendix C - Participant Services
  • NOW Application Part 3 - Appendix D - Plan of Care, Appendix E - Participant Directed, Appendix F - Participant Rights
  • NOW Application Part 4 - Appendix G - Participant Safeguards, Appendix H - Quality Improvement Strategy, Appendix I                                       - Financial Accountability, Appendix J - Cost Neutrality 

The comment period for the New Opportunities Waiver Renewal has been extended to September 12, 2016 due to recent flood events.

Residential Wavier (ROW)

The Department of Health (LDH) intends to submit an amendment to the Residential Options Waiver (ROW) application to Centers for Medicare & Medicaid Services (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 03/25/2020 until 04/25/2020. 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 04/25/2020 by 4:30 p.m.


The Department of Health (LDH) intends to submit an amendment to the Residential Options Waiver (ROW) application (LA.0005.02.01) to Centers for Medicare & Medicaid Services (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 04/10/2019 until 05/10/2019. 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 05/10/2019 by 4:30 p.m.

A hard copy of the application is available for viewing at  the Human Services District / Authority (HSD/A) in your region.  The HSD/A in your local region can be found at http://new.dhh.louisiana.gov/index.cfm/page/134, or by calling 866-783-5553.


The Residential Options Waiver (ROW) draft renewal application(LA.005.02.00) is open for public comment.  Public Comments will be accepted from 3.16.2018 until 4.14.2018.

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 Human Services District/Authority (HSD/A) 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 Residential Options Waiver (ROW) draft renewal application will be submitted to CMS with a potential effective date of July 1, 2018.  It is broken into (3) parts for your review.

The Draft Residential Options Waiver (ROW)  Amendment application (LA 0472.01.05) will be posted for public comment from 9.20.2017- 10.20.2017.  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 Human Services District / Authority (HSD/A) 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 06.15.2016 - 07.29.2016: Please forward ALL comments related to the ROW Waiver Amendment to Jeannathan.Anderson2@la.gov

Residential Options Waiver (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 Residential Options Waiver (ROW)-(June 2016)

Supports Waiver (SW)

The Draft Supports Waiver Renewal application (LA.006.03.00) will be posted for public comment December 19, 2018- 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 Human Services District / Authority (HSD/A) 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 Supports Waiver (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 7.1.2019.

The Draft Supports Waiver (SW)  Amendment application (LA 0453.02.02) will be posted for public comment from 9.20.2017- 10.20.2017.  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 Human Services District / Authority (HSD/A) 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 3 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

CMS has 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 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 Statewide Transition Plan to CMS on March 17, 2015.  This plan is inclusive of Office of Behavioral Health, Office of Agining and Adult Services and the Office for Citizens with Developmental Disabilities.

Any comments regarding Louisiana'sStatewide Transition Plan 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 Final Rule and Transition Plan. To view details regarding these events, please click here.

Power point presentation from Public Forums on February 2/11/2015 and 2/20/2015

 

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 Home and Community-Based 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 Residential Options Waiver (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 OASS 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 Supports Waiver and March 12, 2015 for the Residential Options Waiver. (Comment period is now closed)

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, the Louisiana 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.  The department 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.

The Louisiana Department of Health 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)

LA STP Addendum (Jan 2020)

HCBS Settings Transition Plan

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 LA Statewide Transition Plan Addendum (August, 2019) is in response to CMS' inquiry dated April 4, 2018. The addendum contains the responses from each program office, Office of Behavioral Health, Office of Aging and Adult Services and Office for Citizens with Developmental Disabilities, with LDH. 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 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

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

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OCDD Home and Community-Based Services Setting 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 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, the Centers for Medicare and Medicaid Services (CMS) established the Home and Community-Based Services (HCBS) Settings Rule about home and community-based services 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.  The Louisiana Department of Health (LDH) program offices, i.e. Office of Aging and Adult Services (OAAS), Office of Behavioral Health (OBH), and Office for Citizens with Developmental Disabilities (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 /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

  

 

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After the CMS review in the late summer, Louisiana amended the Statewide Transition Plan (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.  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.

 
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 Statewide Transition Plan for stateholder review.  It will be submitted to CMS by October 30, 2016.  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

 

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 04.20.2016 - 05.20.2016:

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-Transition Plan for OASS Community Choice(CCW) and Adult Day Healthcare (ADHC) waiver recipients into OCDD's Residential Options Waiver (ROW)-(November2015)

 

Draft: Residential Options Waiver Amendment Application LA.005.01.03 (ROW). This is a draft copy of Louisiana's Application to amend its 1915 (c) Home and Community-Based Services Residential Options Waiver. (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 Residential Options Waiver Application for a 1915 (c) Home and Community-Based Services Waiver (February 2015)

OCDD held two public forums involving the impact of the Home and Community-Based Settings Final Rule and Transition Plan. To view details regarding these events, please click here

 

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