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Statewide Transition Plan Home and Community Based Services Settings Requirements
Pursuant to 42 C.F.R. §441.301(c)(6)(iii), notice is hereby given that the New Hampshire Department of Health and Human Services submitted a Statewide Transition Plan on May 26, 2016 to the Centers for Medicare and Medicaid Services (CMS) to detail its assessment and remediation plan for ensuring that New Hampshire’s Medicaid-funded Home and Community-Based Services (HCBS) are provided in settings whose qualities meet new federal requirements at 42 C.F.R. §441.301(c)(4), which became effective March 17, 2014. All states are required to develop a plan to show how they will establish compliance with the new regulations.

The regulations do not specifically define HCBS settings; rather they describe the required qualities of Medicaid-funded HCBS settings. The regulations require that the “community-like” settings be defined by the nature and quality of the experiences of the individual receiving services and applies to both residential and day services settings.

The purpose of these regulations is to ensure that HCBS recipients are able to live in and have opportunities to access their community as well as to receive services in the most integrated settings. This includes opportunities to seek employment and work in competitive settings, engage in community life, control personal resources, and participate in the community just as people who live in the community, but who do not receive HCBS, do.

New Hampshire has drafted a Statewide Transition Plan to show how it will establish compliance with these new regulations. New Hampshire’s draft Statewide Transition Plan includes several sections: 1) Inventory – review of existing state standards, policies, regulations, and statute to determine state level changes that are needed to align with the federal requirements, 2) Assessment – Development, implementation and validation of assessments completed by providers and participants including remediation plans and the role of the Advisory Task Force, 3) Ongoing Monitoring and Compliance.

To learn more about home and community based care residential settings requirements, please visit the CMS website.

Statewide Transition Plan

Centers for Medicare and Medicaid (CMS) Feedback

Home & Community Based Services – Waiver Settings Transition Project – Advisory Task Force Meetings

Meetings are held on a quarterly basis and are open to the public.

Upcoming Meeting Dates:

  • September 13, 2017
  • December 13, 2017

All meetings are held from 10am – 12 noon.

Meeting Location:
INSTITUTE ON DISABILITY / UCED
University of New Hampshire
56 Old Suncook Road, Suite 2
Concord, NH 03301
Phone: 603-228-2085 x 15

For more information, please contact Mary St. Jacques at: Mary.StJacques@unh.edu

Meeting Minutes

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New Hampshire Department of Health and Human Services
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