Statewide Transition Plans
- Approval Process

Statewide Transition Plans

This table provides all available documents related to Statewide Transition Plans (STP), HCBS settings corrective action plans (CAP) for compliance with the settings criteria, and Centers for Medicare & Medicaid Services (CMS) determinations of heightened scrutiny reviews. The table is updated as states and the CMS submit additional documents. View more information about the STPs and the final Home and Community Based Services(HCBS)regulation.

State	STP Status	STP Documents	Heightened Scrutiny Documents	HCBS Settings Corrective Action Plans*	January 1 Submissions
Alabama	Final Approval⁴	Alabama Proposed Plan Alabama Clarifications and/or Modifications required for Initial Approval (CMIA) Alabama Initial Approval Alabama Final Approval Alabama Approved Plan	Alabama Site Visit Report	Alabama Proposed CAP Alabama Approved CAP	Alabama January 1 Submission
Alaska	Final Approval⁴	Alaska Proposed Plan Alaska CMIA Alaska Initial Approval Alaska Initial Approval Addendum Alaska Final Approval Alaska Approved Plan		No CAP Requested	Alaska January 1 Submission
Arizona	Final Approval⁴	Arizona Proposed Plan Arizona CMIA Arizona Initial Approval Arizona Final Approval Arizona Approved Plan		Arizona Proposed CAP Arizona Approved CAP	Arizona January 1 Submission
Arkansas	Final Approval⁴	Arkansas Proposed Plan Arkansas CMIA Arkansas Initial Approval Arkansas Final Approval Arkansas Approved Plan		Arkansas Proposed CAP Arkansas Approved CAP Arkansas Approved CAP Update	Arkansas January 1 Submission
California	Final Approval⁴	California Proposed Plan California CMIA California Initial Approval California Initial Approval Addendum California Transition Plan HCBS California Final Approval	California Site Visit Report	California Proposed CAP California Approved CAP	California January 1 Submission
Colorado	Final Approval⁴	Colorado Proposed Plan Colorado CMIA Colorado Initial Approval Colorado Final Approval Colorado Transition Plan HCBS		Colorado Proposed CAP Colorado Approved CAP	Colorado January 1 Submission
Connecticut	Final Approval⁴	Connecticut Proposed Plan Connecticut CMIA Connecticut Initial Approval Connecticut Final Approval Connecticut Approved Plan		Connecticut Proposed CAP Connecticut Approved CAP	Connecticut January 1 Submission
Delaware	Final Approval⁴	Delaware Proposed Plan Delaware CMIA Delaware Initial Approval Delaware Final Approval Delaware Approved Plan Delaware Transition Plan HCBS		Delaware Proposed CAP Delaware Approved CAP Delaware Settings CAP Completion	Delaware January 1 Submission
District of Columbia	Final Approval⁴	District of Columbia Proposed Plan District of Columbia CMIA District of Columbia Initial Approval District of Columbia Final Approval District of Columbia Approved Plan		No CAP Requested	District of Columbia January 1 Submission
Florida	Initial Approval³	Florida Proposed Plan Florida CMIA Florida Initial Approval Florida Initial Approval Addendum	Florida Site Visit Report	Florida Proposed CAP Florida Approved CAP	Florida January 1 Submission
Georgia	Final Approval⁴	Georgia Proposed Plan Georgia CMIA Georgia Initial Approval Georgia Initial Approval Addendum Georgia Final Approval		Georgia Proposed CAP Georgia Approved CAP	Georgia January 1 Submission
Hawaii	Final Approval⁴	Hawaii Proposed Plan Hawaii CMIA Hawaii Initial Approval Hawaii Initial Approval Addendum Hawaii Final Approval		Hawaii Proposed CAP Hawaii Approved CAP Hawaii Approved CAP Update	Hawaii January 1 Submission
Idaho	Final Approval⁴	Idaho Proposed Plan Idaho CMIA Idaho Initial Approval Idaho Final Approval Idaho Approved Plan	Idaho Site Visit Report	Idaho Proposed CAP Idaho Approved CAP	Idaho January 1 Submission
Illinois	Final Approval⁴	Illinois Proposed Plan Illinois CMIA Illinois Initial Approval Illinois Final Approval Illinois Transition Plan HCBS	Illinois Site Visit Report	Illinois Proposed CAP Illinois Approved CAP	Illinois January 1 Submission
Indiana	Final Approval⁴	Indiana Proposed Plan Indiana CMIA Indiana Initial Approval Indiana Initial Approval Addendum Indiana Final Approval Indiana Transition Plan HCBS	Indiana Site Visit Report	Indiana Proposed CAP Indiana Approved CAP	Indiana January 1 Submission
Iowa	Final Approval⁴	Iowa Proposed Plan Iowa CMIA Iowa Initial Approval Iowa Final Approval Lowa Transition Plan HCBS		Iowa Proposed CAP Iowa Approved CAP	Iowa January 1 Submission
Kansas	Final Approval⁴	Kansas Proposed Plan Kansas CMIA Kansas Initial Approval Kansas Final Approval Kansas Transition Plan HCBS	Kansas Site Visit Report	Kansas Proposed CAP Kansas Approved CAP	Kansas January 1 Submission
Kentucky	Final Approval⁴	Kentucky CMIA Kentucky Initial Approval Kentucky Final Approval Kentucky Approved Plan		Kentucky Proposed CAP Kentucky Approved CAP	Kentucky January 1 Submission
Louisiana	Final Approval⁴	Louisiana Aging and Adult Proposed Plan Louisiana Developmental Disabilities Proposed Plan Louisiana Behavioral Health Proposed Plan Louisiana CMIA Louisiana Initial Approval Louisiana Initial Approval Addendum Louisiana Final Approval		Louisiana Proposed CAP Louisiana Approved CAP	Louisiana January 1 Submission
Maine	Final Approval⁴	Maine Proposed Plan Maine CMIA Maine Initial Approval Maine Final Approval Maine Approved Plan		Maine Proposed CAP Maine Approved CAP	Maine January 1 Submission
Maryland	Final Approval⁴	Maryland Proposed Plan Maryland CMIA Maryland Initial Approval Maryland Initial Approval Addendum Maryland Final Approval Maryland Transition Plan HCBS		Maryland Proposed CAP Maryland Approved CAP	Maryland January 1 Submission
Massachusetts	Final Approval⁴	Massachusetts Proposed Plan Massachusetts CMIA Massachusetts Initial Approval Massachusetts Final Approval Massachusetts Approved Plan		Massachusetts Proposed CAP Massachusetts Approved CAP	Massachusetts January 1 Submission
Michigan	Final Approval⁴	Michigan Proposed Plan Michigan CMIA Michigan Initial Approval Michigan Initial Approval Addendum Michigan Final Approval Michigan Transition Plan HCBS		Michigan Proposed CAP – Choice Waiver Michigan Proposed CAP – Habilitation Supports Waiver and Managed Specialty Supports & Services Waiver Michigan Approved CAP	Michigan January 1 Submission
Minnesota	Final Approval⁴	Minnesota Proposed Plan Minnesota CMIA Minnesota Initial Approval Minnesota Initial Approval Addendum Minnesota Final Approval Minnesota Transition Plan HCBS	Minnesota Site Visit Report and Cover Letter	Minnesota Proposed CAP Minnesota Approved CAP	Minnesota January 1 Submission
Mississippi	Final Approval⁴	Mississippi Proposed Plan Mississippi CMIA Mississippi Initial Approval Mississippi Initial Approval Addendum Mississippi Final Approval Mississippi Transition Plan HCBS		Mississippi Proposed CAP Mississippi Withdrawn CAP	Mississippi January 1 Submission
Missouri	Final Approval⁴	Missouri Proposed Plan Missouri CMIA Missouri Initial Approval Missouri Initial Approval Addendum Missouri Final Approval Missouri Approved Plan		Missouri Proposed CAP Missouri Withdrawn CAP	Missouri January 1 Submission
Montana	Final Approval⁴	Montana Proposed Plan Montana CMIA Montana Initial Approval Montana Initial Approval Addendum Montana Final Approval Montana Approved Plan	Montana Heightened Scrutiny Determination (1)	Montana Proposed CAP Montana Approved CAP	Montana January 1 Submission
Nebraska	Final Approval⁴	Nebraska Proposed Plan Nebraska CMIA Nebraska Initial Approval Nebraska Initial Approval Addendum Nebraska Final Approval Nebraska Transition Plan HCBS		Nebraska Proposed CAP Nebraska Approved CAP	Nebraska January 1 Submission
Nevada	Final Approval⁴	Nevada Proposed Plan Nevada CMIA Nevada Final Approval	Nevada Heightened Scrutiny Determination (1) Nevada Heightened Scrutiny Determination (2)	Nevada Proposed CAP Nevada Approved CAP	Nevada January 1 Submission
New Hampshire	Final Approval⁴	New Hampshire Proposed Plan New Hampshire CMIA New Hampshire Initial Approval New Hampshire Initial Approval Addendum New Hampshire Final Approval New Hampshire Approved Plan	New Hampshire Heightened Scrutiny Determination (1)	New Hampshire Proposed CAP New Hampshire Approved CAP New Hampshire Approved CAP Update	New Hampshire January 1 Submission
New Jersey	Final Approval⁴	New Jersey Proposed Plan New Jersey CMIA New Jersey Final Approval New Jersey Transition Plan HCBS		New Jersey Proposed CAP New Jersey Approved CAP	New Jersey January 1 Submission
New Mexico	Final Approval⁴	New Mexico Proposed Plan New Mexico CMIA New Mexico Initial Approval New Mexico Final Approval New Mexico Transition Plan HCBS		No CAP Requested	New Mexico January 1 Submission
New York	Final Approval⁴	New York Proposed Plan New York CMIA New York Initial Approval New York Final Approval	New York Site Visit Report	New York Proposed CAP New York Approved CAP	New York January 1 Submission
North Carolina	Final Approval⁴	North Carolina Proposed Plan North Carolina CMIA North Carolina Initial Approval North Carolina Initial Approval Addendum North Carolina Final Approval		No CAP Requested	North Carolina January 1 Submission
North Dakota	Final Approval⁴	North Dakota Proposed Plan North Dakota CMIA North Dakota Initial Approval North Dakota Final Approval North Dakota Transition Plan HCBS	North Dakota Heightened Scrutiny Determination (1) North Dakota Heightened Scrutiny Determination (2)	No CAP Requested	North Dakota January 1 Submission
Ohio	Final Approval⁴	Ohio Proposed Plan Ohio CMIA Ohio Initial Approval Ohio Final Approval Ohio Transition Plan HCBS	Ohio Heightened Scrutiny Determination (1) Ohio Heightened Scrutiny Determination (2) Ohio Heightened Scrutiny (3) Ohio Site Visit Report	Ohio Proposed CAP Ohio Approved CAP	Ohio January 1 Submission
Oklahoma	Final Approval⁴	Oklahoma Proposed Plan Oklahoma CMIA Oklahoma Initial Approval Oklahoma Final Approval Oklahoma Transition Plan HCBS		Oklahoma Proposed CAP Oklahoma Withdrawn CAP	Oklahoma January 1 Submission
Oregon	Final Approval⁴	Oregon Proposed Plan Oregon CMIA Oregon Initial Approval Oregon Final Approval Oregon Transition Plan HCBS	Oregon Heightened Scrutiny Determination (1) Oregon Site Visit Report	Oregon Proposed CAP Oregon Approved CAP Oregon Approved CAP Update	Oregon January 1 Submission
Pennsylvania	Final Approval⁴	Pennsylvania Proposed Plan Pennsylvania CMIA Pennsylvania Initial Approval Pennsylvania Final Approval	Pennsylvania Site Visit Report	Pennsylvania Proposed CAP Pennsylvania Approved CAP	Pennsylvania January 1 Submission
Rhode Island	Final Approval⁴	Rhode Island Proposed Plan Rhode Island CMIA Rhode Island Initial Approval Rhode Island Initial Approval Addendum Rhode Island Final Approval Rhode Island Approved Plan		Rhode Island Proposed CAP Rhode Island Approved CAP	Rhode Island January 1 Submission
South Carolina	Final Approval⁴	South Carolina Proposed Plan South Carolina CMIA South Carolina Initial Approval South Carolina Final Approval South Carolina Approved Plan	South Carolina Site Visit Report	South Carolina Proposed CAP South Carolina Approved CAP	South Carolina January 1 Submission
South Dakota	Final Approval⁴	South Dakota Proposed Plan South Dakota CMIA South Dakota Initial Approval South Dakota Initial Approval Addendum South Dakota Final Approval	South Dakota Site Visit Report	South Dakota Proposed CAP South Dakota Approved CAP	South Dakota January 1 Submission
Tennessee	Final Approval⁴	Tennessee Proposed Plan Tennessee CMIA Tennessee Initial Approval Tennessee Final Approval Tennessee Approved Plan		No CAP Requested	Tennessee January 1 Submission
Texas	Final Approval⁴	Texas Proposed Plan Texas CMIA Texas Initial Approval Texas Final Approval	Texas Site Visit Report	Texas Proposed CAP Texas Approved CAP	Texas January 1 Submission
Utah	Final Approval⁴	Utah Proposed Plan Utah CMIA Utah Initial Approval Utah Initial Approval Addendum Utah Final Approval Utah Approved Plan		Utah Proposed CAP Utah Approved CAP	Utah January 1 Submission
Vermont	Final Approval⁴	Vermont Proposed Plan Vermont CMIA 10/29/15 Vermont CMIA 12/30/15 Vermont Initial Approval Vermont Initial Approval Addendum Vermont Final Approval Vermont Transition Plan HCBS	Vermont Heightened Scrutiny (1)	Vermont Proposed CAP Vermont Approved CAP Vermont Approved CAP Update	Vermont January 1 Submission
Virginia	Final Approval⁴	Virginia Proposed Plan Virginia CMIA Virginia Initial Approval Virginia Final Approval	Virginia Site Visit Report	Virginia Proposed CAP Virginia Approved CAP	Virginia January 1 Submission
Washington	Final Approval⁴	Washington Proposed Plan Washington CMIA Washington Initial Approval Washington Final Approval		Washington Proposed CAP Washington Withdrawn CAP	Washington January 1 Submission
West Virginia	Final Approval⁴	West Virginia Proposed Plan West Virginia CMIA West Virginia Initial Approval West Virginia Final Approval West Virginia Approved Plan		West Virginia Proposed CAP West Virginia Approved CAP	West Virginia January 1 Submission
Wisconsin	Final Approval⁴	Wisconsin Proposed Plan Wisconsin CMIA Wisconsin Initial Approval Wisconsin Initial Approval Addendum Wisconsin Final Approval Wisconsin Transition Plan HCBS	Wisconsin Heightened Scrutiny Determination (1) Wisconsin Heightened Scrutiny Determination (2) Wisconsin Heightened Scrutiny Determination (3) Wisconsin Site Visit Report and Cover Letter	Wisconsin Proposed CAP Wisconsin Approved CAP	Wisconsin January 1 Submission
Wyoming	Final Approval⁴	Wyoming Proposed Plan Wyoming CMIA Wyoming Initial Approval Wyoming Final Approval Wyoming Approved Plan		No CAP Requested	Wyoming January 1 Submission

* The proposed CAP is a preliminary plan being evaluated by CMS and is subject to change based on conversations between the state and CMS. Final CAP documents will be updated as available.

Proposed Plan URL: The URL link to the STP the state submitted to CMS.
Clarifications and/or Modifications required for Initial Approval (CMIA): The communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, but CMS has identified issues that must be resolved in the STP prior to initial approval.
Initial Approval with Milestones and a Resubmission Date: The communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, the STP is sufficient, but systemic and/or site-specific assessments are not yet completed. The response to the state will vary dependent on whether the state has or has not identified settings that are presumed to have institutional characteristics and any information the state may wish CMS to consider under the heightened scrutiny process.
Final Approval: The communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, the STP has provided all necessary information including but not limited to; systemic assessment, site specific assessment, settings presumed to have institutional characteristics, information regarding heightened scrutiny or the state’s decision to let the presumption stand, and clear remedial steps with milestones are delineated.
Approved Plan: The CMS approved STP.