Source: Statewide Transition Plans
Notes: This map reflects the approval status of states’ statewide transition plans (STPs) for home and community-based services (HCBS) as of May 31, 2020. The STP is the vehicle through which states describe how they will comply with the new requirements for home and community-based settings in the HCBS final regulation published January 16, 2014. States have until March 17, 2023 to come into compliance.
All states have submitted at least one STP. Initial approval requires: (1) identification in the STP of all settings subject to the rule; (2) a systemic assessment of state statutes, regulations, and policies, necessary remediation strategies for those resources; (3) a public comment period and a summary of responses to comments received on the STP. Final approval requires: (1) a summary of completed and validated site-specific assessments, with remediation strategies and timelines for resolution; (2) a plan for identifying and evaluating those settings; (3) a process for communicating with beneficiaries who are currently in settings that cannot or will not come into compliance with the settings criteria by the end of the transition period; (4) a description of ongoing monitoring and quality assurance to ensure all settings remain in full compliance with the settings criteria. States must post the updated version of the STP for a minimum 30-day public comment period prior to final approval.
For more information about STPs and updates to approval status that occurred after May 2020, please visit the Statewide Transition Plans webpage. CMS guidance for states concerning statewide transition plans may be found here: https://www.medicaid.gov/medicaid/home-community-based-services/guidance/home-community-based-settings-requirements-compliance-toolkit/index.html.