HCBS Settings Final Rule

Draft State HCBS Settings Final Rule

Draft State HCBS Settings Final Rule

On March 17, 2014, the Centers for Medicare and Medicaid Services (CMS) issued the Home and Community Based Services Settings Rule (called the "Rule" in this transition plan). The Rule requires states to review and evaluate Home and Community-Based Services (HCBS) settings, including residential and nonresidential settings. States are required to analyze all HCBS settings where HCBS participants receive services to determine current compliance with the Rule.

The Kansas Department for Aging and Disability Services (KDADS) has created a Transition Plan to assess compliance with the HCBS Settings Rule and identify strategies and timelines for coming into compliance with the Rule. The federal regulation for the new Rule is 42 CFR 441.301(c)(4)-(5). More information on the Rule can be found on the CMS website at www.medicaid.gov/hcbs. The plan includes all settings where HCBS are provided in Kansas.

Final HCBS Transition Plan

Under the new Home- and Community-Based Setting (HCBS) rule, the settings that individuals on Medicaid (KanCare) HCBS programs live in must be integrated into the greater community and must support full access for individuals to community resources, including opportunities to seek employment and work in competitive integrated settings, engage in community life, control personal resources, and receive services in the community, to the same degree of access as individuals not receiving Medicaid HCBS.
 
Kansas is in the process of amending the original transition plan submission as our initial plan was not approved by CMS.

In July 2016 Consumer Surveys were sent out. Consumers can complete the paper copy of can complete the survey online.

Click here to take the HCBS Consumer Survey

2017 Documents and Public Sessions

FileTypeSizeUploaded onDownload
Final Rule Stakeholder Call 7.5.2017PDF214.04 KB02 Aug, 2017 Download
June 21 2017 QAPDF225.77 KB02 Aug, 2017 Download
June 7 2017 QAPDF235.42 KB02 Aug, 2017 Download
Final Rule Stakeholder Call 7.19.2017PDF231.63 KB02 Aug, 2017 Download
Final Rule Stakeholder Call - May 17 2017PDF210.45 KB31 May, 2017 Download
Final Rule Stakeholder Call - May 3 2017PDF207.07 KB16 May, 2017 Download
Final Rule Stakeholder Call - April 19 2017PDF222.89 KB16 May, 2017 Download
Final Rule Stakeholder Call - April 5 2017PDF292.72 KB24 Apr, 2017 Download
Final Rule Stakeholder Call - March 15 2017PDF245.99 KB24 Apr, 2017 Download
CMS TA - Setting Specific Assessment and Remediation ProcessPDF757.79 KB10 Mar, 2017 Download
March 1 2017 QAPDF204.24 KB08 Mar, 2017 Download
Feb 15 2017 QAPDF192.42 KB08 Mar, 2017 Download
Person Centered Planning and HCBSPDF319.11 KB15 Feb, 2017 Download
What HCBS Rule Means for YouPDF241.62 KB15 Feb, 2017 Download
February 1 2017 QA FINALPDF208.20 KB15 Feb, 2017 Download
January 18 2017 QA FINALPDF190.50 KB15 Feb, 2017 Download
Jan 4 2017 QA FINALPDF202.86 KB15 Feb, 2017 Download

2016 Documents and Public Sessions

FileTypeSizeUploaded onDownload
STP Transition Steps 12.20.16PDF252.77 KB15 Feb, 2017 Download
December 21 Public CommentPDF188.83 KB15 Feb, 2017 Download
December 7 Public CommentPDF192.15 KB15 Feb, 2017 Download
November 16 QAPDF199.80 KB15 Feb, 2017 Download
Final Rule Stakeholder Call November 2 Q&APDF293.05 KB15 Nov, 2016 Download
Draft HCBS Final Settings RulePDF682.40 KB15 Nov, 2016 Download
Final Rule Stakeholder Call August 17 Q&APDF83.45 KB10 Oct, 2016 Download
Final Rule Stakeholder Call August 3 Q&APDF89.32 KB10 Oct, 2016 Download
Final Rule Stakeholder Call July 20 Q&APDF104.35 KB10 Oct, 2016 Download
Summary Chart - Statewide Transition Plan RecommendationsPDF254.21 KB10 Oct, 2016 Download
IDD and Adult Care Home Regulations CrosswalkPDF616.76 KB19 Aug, 2016 Download
2016.08 Online Consumer SurveyPDF79.51 KB18 Aug, 2016 Download
HCBS Settings Final Rule consumer survey - FINAL7.22.16PDF297.84 KB22 Jul, 2016 Download
Public Comment Sessions - June, 2016 Final Rule Public Comment Tour Final ReportPDF296.27 KB21 Jul, 2016 Download
Onsite Training - Onsite Assessment Process for AssessorsPDF440.87 KB21 Jul, 2016 Download
Onsite Training - Final Rule Onsite Assessment Training PresentationPDF667.95 KB21 Jul, 2016 Download
Onsite Training - Does It Comply QuizPDF345.91 KB21 Jul, 2016 Download
Onsite Training - Facilitation Guide 6 27 16PDF136.41 KB21 Jul, 2016 Download
2016.07.16 - Settings Final Rule Call InformationPDF329.28 KB16 Jul, 2016 Download
Settings Final Rule TrainingPDF203.50 KB29 Jun, 2016 Download
Reviewed Assessment - 4.12.2016PDF259.69 KB16 Jun, 2016 Download
Evaluation FormPDF106.49 KB16 Jun, 2016 Download
Final HCBS Settings Rule for TourPDF287.76 KB16 Jun, 2016 Download
CM Edit Final HCBS Settings Rule for DD June 10PDF294.11 KB16 Jun, 2016 Download
CM Edit Final HCBS Settings Rule for Adult Care Homes June 10PDF292.34 KB16 Jun, 2016 Download
Adult Care Homes meeting invitation (2)PDF130.46 KB10 Jun, 2016 Download
invitation for public comment sessions 5-31-16PDF113.20 KB09 Jun, 2016 Download
CDDO Meeting InvitationPDF186.22 KB18 May, 2016 Download

2015 Documents and Public Sessions

FileTypeSizeUploaded onDownload
2015-02 hcbs-transition-plan---supplemental-documentsPDF552.45 KB22 Jun, 2016 Download
2015-06-05---hcbs-final-rule-provider-self-assessment-qaPDF474.66 KB22 Jun, 2016 Download
HCBS Assessment and Attestation SurveyPDF992.00 KB05 Jun, 2015 Download
HCBS Settings SummaryPDF489.73 KB14 May, 2015 Download
HCBS Settings AnalysisPDF308.24 KB14 May, 2015 Download
Kansas Response to Proposed Amendments for HCBS-Autism-TA-SED-programs revised AdR 3 16 15PDF465.89 KB17 Mar, 2015 Download
2 Proposed Changes for Transition PlanPDF480.71 KB10 Feb, 2015 Download
HCBS Autism Transition Plan 01.26.15PDF84.73 KB10 Feb, 2015 Download
5 HCBS TA Transition Plan (revised 1.26.15)PDF178.80 KB10 Feb, 2015 Download
Kansas HCBS Transition Plan and Program Specific Proposed Changes Open for Public Comment_rev 01 26 15PDF516.91 KB10 Feb, 2015 Download
Hold the Date - Latest Updates on New HCBS Developments - Feb 2015 REVISEDPDF106.57 KB26 Jan, 2015 Download
Hold the Date - Latest Updates on New HCBS Developments - Feb 2015PDF182.99 KB26 Jan, 2015 Download

2014 Documents and Public Sessions

FileTypeSizeUploaded onDownload
2014-11-07 hcbs-transition-plan---visual-overview---11-7-14JPG350.23 KB22 Jun, 2016 Download
2014-12-31 kansas-final-response-to-proposed-hcbs-programsPDF541.18 KB22 Jun, 2016 Download
2014-06-13 3 hcbs-transition-plan---cms-draftPDF587.26 KB22 Jun, 2016 Download
2014-06-13 1 hcbs-settings-summaryPDF489.73 KB22 Jun, 2016 Download
2014-06-23 Public CommentsPDF249.75 KB22 Jun, 2016 Download
2014-06-13 4 hcbs-settings-analysisPDF308.24 KB22 Jun, 2016 Download
2014-06-13 2 participant-rights---cms-final-rulesPDF387.96 KB22 Jun, 2016 Download
proposed-changes-to-hcbs-programs-open-for-public-inputPDF539.26 KB22 Jun, 2016 Download
HCBS SED Transition Plan - 6.13.14PDF394.02 KB10 Feb, 2015 Download
HCBS Final Rule and Waiver Renewals Dec 2014 FAQPDF438.75 KB23 Jan, 2015 Download
Proposed Program Changes for public comments 11 6 14_KP (2)PDF505.78 KB08 Dec, 2014 Download
Competing Priorities PresentationPDF980.73 KB30 Oct, 2014 Download
HCBS-TBI Public Session NoticePDF330.21 KB16 Sep, 2014 Download
HCBS-TA Public Session NoticePDF330.59 KB16 Sep, 2014 Download
HCBS-SED Public Session NoticePDF330.60 KB16 Sep, 2014 Download
HCBS-PD Public Session NoticePDF330.51 KB16 Sep, 2014 Download
HCBS-IDD Public Session NoticePDF330.65 KB16 Sep, 2014 Download
HCBS-FE Public Session NoticePDF330.41 KB16 Sep, 2014 Download
HCBS-Autism Public Session NoticePDF330.39 KB16 Sep, 2014 Download

CMS Guidance for HCBS Settings Final Rule

FileTypeSizeUploaded onDownload
2014-03-19 3 Steps to Compliance for HCBS Setting RequirementsPDF99.24 KB22 Jun, 2016 Download
2014-03-19 4 Template for State Settings' AnalysisPDF16.32 KB22 Jun, 2016 Download
2014-03-19 5 State Transition Plan for Compliance with HCBS Characteristics-Setting RequirementsPDF48.12 KB22 Jun, 2016 Download
2014-03-19 6 Guidance on Settings that have the Effect of Isolating Individuals Receiving HCBS from the Broader ComPDF85.32 KB22 Jun, 2016 Download
2014-03-19 7 Incorporation of Heightened Scrutiny in the Transition Plan ProcessPDF58.19 KB22 Jun, 2016 Download
2014-03-19 8 Incorporation of Heightened Scrutiny in the Standard Waiver ProcessPDF60.36 KB22 Jun, 2016 Download
2014-09-05 Basic Elements Review hcbs-statewide-transition-planPDF343.55 KB22 Jun, 2016 Download
2014-09-05 Statewide-Transition-Plan-Toolkit-PDF198.97 KB22 Jun, 2016 Download
2015-09 HCBSFinalRuleIntensivePDF1.30 MB22 Jun, 2016 Download
2015-06-26 Heightened Scrutiny FAQPDF175.39 KB22 Jun, 2016 Download
2015-11-04 CMS hcb-excluded-settings-and-heightened-scrutinyPDF438.44 KB22 Jun, 2016 Download
2015-12-09 CMS hcbs-systemic-and-site-specificPDF261.87 KB22 Jun, 2016 Download
2014-01-10 1 CIBPDF76.41 KB22 Jun, 2016 Download
2014-01-10 2 final-rule-fact-sheetPDF89.43 KB22 Jun, 2016 Download
2014-01-10 3 1915c-Fact-SheetPDF102.29 KB22 Jun, 2016 Download
2014-01-29 CMS Final-Rule-SlidesPDF380.54 KB22 Jun, 2016 Download
2014-01-10 5 Final-Q-and-APDF189.15 KB22 Jun, 2016 Download
2014-01-10 4 HCBS-setting-fact-sheetPDF109.45 KB22 Jun, 2016 Download
2014-03-19 2 Regulatory Requirements for Home and Community-Based SettingsPDF74.87 KB22 Jun, 2016 Download
2014-03-19 1 Exploratory Questions to Assist States in Assessment of Residential SettingsPDF40.53 KB22 Jun, 2016 Download

HCBS Final Rule Onsite Assessment Workgroup