Home and Community Based Services Rules
Medicaid Home and Community-Based Services (HCBS) proposed rules that were published on October 7, 2015 have been heard by the Idaho Legislature’s Health and Welfare committees. On Monday January 25, 2016 the Medicaid HCBS rules passed unanimously in the Idaho Senate and also passed unanimously in the Idaho House of Representatives on Friday, January 29, 2016. The final Medicaid HCBS rules will be published on and become effective on July 1, 2016. These rules are necessary for the state of Idaho to move into full compliance with the Federal law passed by the Centers for Medicare and Medicaid Services (CMS).
The Medicaid HCBS rules will be used to ensure that individuals receiving Medicaid HCBS are integrated in and supported to gain full access to their community. Idaho Medicaid is currently working with stakeholders to establish a toolkit that will benefit Idaho providers of Medicaid HCBS services to come into compliance with the HCBS IDAPA rules.
Home and Community Based Settings
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. The purpose of the regulation is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community and that the individual’s role in service planning is optimized. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, and receive services in the community to the same degree as individuals who do not receive HCBS.
CMS expects all states to develop a HCBS transition plan that provides an assessment of potential gaps in compliance with the new regulation, as well as strategies and timelines for becoming compliant with the rule’s requirements. CMS further requires that states seek input from the public in the development of this transition plan.
Idaho has completed its’ second submission of the state plan to CMS. 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. To access the updated Idaho Transition Plan, please go to Resources in the right hand column, Idaho Transition Plan – Version 3.