Idaho State Transition Plan, Coming Into Compliance with HCBS Setting Requirements
Public Notice and Request for Comment
Post Date: June 3, 2016
Comments will be accepted through: July 4, 2016
Contact: Michele Turbert, Medicaid 208-364-1946
The purpose of this posting is to provide public notice and receive public comments for consideration regarding version four of Idaho Medicaid’s Home and Community Based Services Settings Transition Plan. The full Transition Plan can be found by selecting the link in the right hand column titled: Idaho State Transition Plan, v4.
The Department of Health and Human Services’ Centers for Medicare and Medicaid Services (CMS) published regulations in the Federal Register on January 16, 2014, which became effective on March 17, 2014, implementing new requirements for Medicaid’s 1915(c), 1915(i), and 1915(k) Home and Community-Based Services (HCBS) waivers. These regulations require the state to submit a transition plan for all the state’s 1915(c) waiver and 1915(i) HCBS state plan programs. This plan sets forth the actions Idaho will take to operate all applicable HCBS programs in compliance with the final rules. It is Idaho’s effort to comply/demonstrate compliance with the regulations around Home and Community Based (HCB) setting requirements. Idaho will be submitting its updated transition plan to CMS in July, 2016.
Copies of this version may be obtained by printing the Transition Plan v4 from this webpage. Copies may also be picked up from any Regional Medicaid Office or at the Medicaid Central Office located at 3232 Elder St., Boise ID.
Public Comment Submission Process
The state of Idaho’s Department of Health and Welfare, Division of Medicaid is seeking public input on the transition plan. Please take the time to comment on the transition plan and whether or not you believe it includes sufficient activities for the state of Idaho to comply with the new HCBS regulations.
Comments should be submitted by July 4, 2016. Comments and input regarding the transition plan may be submitted in the following ways:
- On this webpage in the right hand column you will see an “Ask the Program” section. There you can use the Email the program tab to email your comments directly to the program.
- By e-mail: HCBSSettings@dhw.idaho.gov
- By written comments sent to:
Division of Medicaid, Attn. Transition Plan
PO Box 83720
Boise, ID 83720-0009
- By FAX: (208) 332-7286 (please include: Attention HCBS)
- By calling toll free to leave a voicemail message: 1 (855) 249-5024
All comments will be tracked and summarized. The summary of comments in addition to a summary of modifications made in response to the public comments will be added to the Statewide Transition Plan. In cases where the state’s determination differs from public comment, the additional evidence and rationale the state used to confirm the determination will be added to the Transition Plan as well. The Transition Plan will then be submitted to CMS. Once it is submitted to CMS, the updated Transition Plan will be reposted on the HCBS webpage listed above.
Transition Plan Summary
Idaho completed a preliminary analysis of its residential HCBS settings in late summer of 2014. This analysis identified areas where the new regulations on residential settings are supported in Idaho as well as areas that will need to be strengthened in order to align Idaho’s HCBS programs with the regulations. Actions necessary for Idaho to come into full compliance have been identified in the Transition Plan along with a timeline for completing those actions.
The plan further outlines the process Idaho will use to assess the HCB residential settings to ensure they are integrated in and support full access of individuals to the greater community.
States must also make a determination that settings where HCB services are provided do not have the characteristics of an institutional setting as described by CMS. The Transition Plan describes Idaho’s work to date in relationship to this requirement as well as its plans for completing that assessment.
Idaho has now completed its systemic assessment of the state’s compliance with the HCBS regulations. The state will complete its’ systemic remediation activities by July 1, 2017. Site specific assessments and remediation will be initiated in January of 2017. The plan outlines this process as well as Idaho’s plan for transitioning impacted participants to compliant settings where necessary. All outstanding milestones and corresponding timelines are identified in the plan.