Statewide HCBS Transition Plan

CMS Approval Of Maine's Initial Statewide Transition Plan

CMS Approval of Maine's Initial STP | Transition Plan  | Appendices   

Concise Summary:

CMS APPROVAL OF MAINE'S INITIAL STATEWIDE TRANSITION PLAN The Offices of MaineCare Services and Aging and Disability Services are pleased to announce the Centers for Medicare and Medicaid Services (CMS) has granted initial approval of Maines Statewide Transition Plan (STP) to bring settings into compliance with the federal home and community-based services (HCBS) regulations found at 42 CFR Section 441.301(c)(4)(5) and Section 441.710(a)(1)(2). In January 2014, the federal Centers for Medicare & Medicaid Services (CMS) released a new rule regarding Home- and Community-Based Services (HCBS) which took effect March 17, 2014. The rule requires that people who receive home- and community-based services and supports funded through Medicaid (known as MaineCare in Maine) must receive those services and supports in settings (places) that meet specific standards. The standards are designed to ensure the settings are truly home- and community-based. This means that individuals receiving services in these settings have full access to the greater community and can enjoy all of the benefits of community living. The rule came into effect after a five-year federal rulemaking process with multiple public comment periods during which over 2,000 comments were submitted from across the country, including comments from individuals with disabilities and their families. The overall goal is to ensure all HCBS programs provide a setting and experience that is very distinct from an institution [e.g. a hospital, nursing facility or intermediate care facility for people with intellectual disabilities (ICF-IID)]. The STP is intended to serve as the states roadmap for implementing the federal HCBS rule with fidelity and outlines a detailed work plan and timeline for ensuring that all settings in which HCBS services are provided comply with the new standards by March of 2022. The state of Maine is deeply committed to not only implementing the federal HCBS requirements with fidelity, but to use the rule as a catalyst for implementing other improvements to policy, payment, and practice associated with Medicaid-funded HCBS in an effort to improve access to and quality of HCBS services and options throughout the state. As such, the state has been working with stakeholders on a number of additional systems-change efforts that complement the vision of the federal HCBS rule. As outlined in the STP, Maine has an aggressive work plan ahead to achieve final STP approval from CMS by March 2022. We look forward to working with our partners in reaching this goal. Maines approved initial STP can be viewed at: https://www.maine.gov/dhhs/oms/rules/transition-plan.shtml

Comment deadline past No comment deadline | Posted: June 2, 2020

Notice of Statewide Transition Plan for Home and Community-Based Services Settings

Notice | Transition Plan  | Appendices   

Concise Summary:

The Maine Department of Health and Human Services, pursuant to the requirements of the Centers for Medicare and Medicaid Services' (CMS) Home- and Community-Based Services (HCBS) Rule at 42 CFR 441.301(c)(6), gives notice that the revised Maine HCBS Statewide Transition Plan has been released for a 30-day public comment period. The full public notice and revised Maine HCBS Statewide Transition Plan are available online at http://www.maine.gov/dhhs/oms/rules/transition-plan.shtml The revised Maine HCBS Statewide Transition Plan will be submitted to CMS in April 2020 and will be effective upon CMS approval. For the aspects of the rule that apply to HCBS settings, states have until March 2022 to ensure alignment of the states policies, programs, and provider settings with the federal settings criteria. States must submit a Statewide Transition Plan (STP) that describes the states overall strategies, processes, and resources it will deploy to complete all implementation efforts by the end of the transition period. The STP is also intended to serve as the states roadmap for implementing the federal HCBS rule with fidelity and outlines a detailed work plan and timeline for ensuring that all settings in which HCBS services are provided comply with the new standards by March 2022. The State of Maine is deeply committed to implementing the federal HCBS requirements with fidelity, and is using the rule as a catalyst for implementing other improvements to policy, payment, and practice associated with Medicaid-funded HCBS in an effort to improve access to and quality of HCBS services and options throughout the state. As such, the state has been working with stakeholders on several additional systems change efforts that complement the vision of the federal HCBS rule.

Comment deadline past Comment Deadline: March 31, 2020 | Posted: March 2, 2020

Revised HCBS Transition Plan

PDF      

Concise Summary:

The State of Maine has submitted a revised HCBS Transition Plan on June 23, 2016, based on feedback from CMS. Above is a copy of the plan. A copy of the Transition Plan may also viewed at any regional Office for Family Independence (regional DHHS office). A printed copy may be obtained by calling Ginger Roberts-Scott at 207-624-4048 or emailing her at ginger.roberts-scott@maine.gov.

Comment deadline past No comment deadline | Posted: July 8, 2016

Draft Transition Plan for Complying with New HCBS Rules

PDF | Graphic (PDF)     

Concise Summary:

The Centers for Medicare and Medicaid Services (CMS) has implemented new rules governing Medicaid-funded Home and Community-Based Services (HCBS) authorized under §1915(c), §1915(i) and §1915(k) of the Social Security Act. The new rules set standards for person-centered planning, conflict-free case management, and the settings in which HCBS is provided. The rules became effective March 17, 2014. For the standards that apply to HCBS settings, DHHS must submit a "Transition Plan" to CMS. The Transition Plan must document compliance with the rules and develop a plan for addressing noncompliance. A copy of the Transition Plan may be viewed at any regional Office for Family Independence (a list of the offices and locations can be found at this link http://www.maine.gov/dhhs/DHSaddresses.htm ) or a printed copy may be obtained by calling Ginger Roberts-Scott at 207-624-4048 or emailing at ginger.roberts-scott@maine.gov.

Comment deadline past Comment Deadline: January 31, 2015 | Posted: December 31, 2014