In March 2014, the Center for Medicaid and Medicare Services (CMS) published the final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver) which defines a home and community based setting and person-centered planning requirements in Medicaid HCBS Waiver programs. The purpose of this regulation is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. 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 Home and Community Based Services.
The rule requires states to develop a statewide transition plan to demonstrate how their HCBS Waiver programs comply with the new federal HCBS rules. Missouri’s draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS).
Additional information from CMS regarding this rule may be found at: https://www.medicaid.gov/medicaid/home-community-based-services/guidance/home-community-based-services-final-regulation/index.html.
- Statewide Transition Plan
- CMS Final Approval (7-2-20)
- Final HCBS Statewide Transition Plan (7/2/20)
- Public Notice (Revised 4/24/19)
- HCBS Statewide Transition Plan (revised 4/24/19)
- Public Notice
- HCBS Statewide Transition Plan (Amended 3/27/19)
- Response to CMS
- HCBS Statewide Transition Plan (Initial Approval) 4/6/17
- Revised HCBS Draft Statewide Transition Plan (Amended 7/27/16) 10/6/16
- HCBS Statewide Transition Plan Public Comments (Amended 7/27/16) 10/6/16
- HCBS Draft Statewide Transition Plan (Amended 7/26/16)
- CMS Final Rule Transition Plan Public Notice (7/27/16)
- HCBS Draft Statewide Transition Plan (12/24/14)
- CMS Final Rule Transition Plan Public Notice
- Missouri Home and Community-Based Service Settings Transition Plan Public Comments
- 2016 Regulation and Policy Crosswalk-Updated December 2019
- 2016 Regulation and Policy Crosswalk - Updated April 2019
- 2016 Regulation and Policy Crosswalk - Updated November 2018
- 2016 Regulation and Policy Crosswalk - Updated March 2017
- 2016 Regulation and Policy Crosswalk
- Heightened Scrutiny
- HCBS Self-Assessments-Participant/Guardian
- Provider Surveys
- Provider Survey Self-Assessment Guide
- MOCDD Waiver (archived)
- Comprehensive Waiver (archived)
- Community Support Waiver (archived)
- Autism Waiver (archived)
- Partnership for Hope Waiver (archived)
- 2015 Provider Survey Results
- Trainings
- HCBS Rule Transition Plan Webinar for Support Coordinators
- HCBS Rule Transition Plan Webinar for Providers
- HCBS Rule-Person Centered Planning and the Person Centered Service Plan Webinar
- HCBS Draft Training Crosswalk Summary - Updated January 2017
- Home and Community Based Services recorded webinar and presentation from May 21, 2018 are now available.
Please view the list of Division webinars for additional training opportunities.
- Frequently Asked Questions
- HCBS Frequently Asked Questions (updated 12/24/19)
- Other Resources