Home & Community-Based Services Statewide Transition Plan Approval Status

DOMAIN: How do States Deliver Care in Medicaid?

US Map shows which states have which status: Initial Approval, Final Approval, Clarifications and/or Modifications Required for Initial Approval

State	Status
Alabama	Initial Approval
Alaska	Final Approval
Arizona	Initial Approval
Arkansas	Final Approval
California	Initial Approval
Colorado	Initial Approval
Connecticut	Final Approval
Delaware	Final Approval
District of Columbia	Final Approval
Florida	Initial Approval
Georgia	Initial Approval
Hawaii	Final Approval
Idaho	Final Approval
Illinois	Clarifications and/or Modifications Required for Initial Approval
Indiana	Initial Approval
Iowa	Initial Approval
Kansas	Initial Approval
Kentucky	Final Approval
Louisiana	Initial Approval
Maine	Clarifications and/or Modifications Required for Initial Approval
Maryland	Initial Approval
Massachusetts	Clarifications and/or Modifications Required for Initial Approval
Michigan	Initial Approval
Minnesota	Final Approval
Mississippi	Initial Approval
Missouri	Final Approval
Montana	Initial Approval
Nebraska	Initial Approval
Nevada	Clarifications and/or Modifications Required for Initial Approval
New Hampshire	Initial Approval
New Jersey	Clarifications and/or Modifications Required for Initial Approval
New Mexico	Initial Approval
New York	Initial Approval
North Carolina	Initial Approval
North Dakota	Final Approval
Ohio	Final Approval
Oklahoma	Final Approval
Oregon	Final Approval
Pennsylvania	Initial Approval
Rhode Island	Initial Approval
South Carolina	Final Approval
South Dakota	Final Approval
Tennessee	Final Approval
Texas	Clarifications and/or Modifications Required for Initial Approval
Utah	Final Approval
Vermont	Initial Approval
Virginia	Final Approval
Washington	Final Approval
West Virginia	Initial Approval
Wisconsin	Initial Approval
Wyoming	Final Approval

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 July 31, 2021. 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 effective March 17, 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 July 2021, 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.