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September 30, 2016


New Series of HCBS Training's Continues

The next training will be a teleconference call on Tuesday October 4, 2016 from 1-2 pm MDT (12-1 pm PDT), to discuss any final questions on the Provider Toolkit and the Provider Self-Assessment Tool. If you have any questions about using the provider toolkit or the self-assessment tool please email the HCBS team at by 5 pm Mountain time on Monday October 3, 2016. The team will discuss your questions during the conference call. 

For a list of additional training opportunities, please see the Training Schedule Spring thru Fall 2016 under What’s New on this page in the right hand column. 

HCBS Provider Toolkit

The Division of Medicaid with the Department of Health and Welfare has developed a provider toolkit to assist all Idaho providers of Home and Community Based Services (HCBS) to comply with the new HCBS federal regulations and HCBS-related IDAPA rules. The provider toolkit gives Medicaid providers guidance about how to come into and remain compliant with the regulations and rules.  This toolkit contains information about the HCBS IDAPA rules, the intent of the HCBS IDAPA rules, best practices for compliance with HCBS IDAPA rules, and the Assessment documents that providers will be required to complete.  The toolkit also includes a glossary of terms that relate to HCBS settings, a participants right document,  sample policies and procedures for certified family homes, as well as additional resources for providers. 

The HCBS provider toolkit can be located on this page under the “Provider Toolkit” section in the right hand column. A hard copy of this document can be accessed at the regional Medicaid offices throughout the state.  The locations of the regional Idaho Medicaid offices are: Coeur D’ Alene, Lewiston, Caldwell, Boise, Twin Falls, Pocatello, and Idaho Falls.  

An updated training schedule has been included on this page as well.  This training schedule is entitled “Home and Community Based Setting training”.  This document is located under the “What’s New” section on the right hand side of this web page.

HCBS Rules

Medicaid Home and Community Based Services (HCBS) went into effect Friday, July 01, 2016. The Medicaid HCBS rules are contained in the Medicaid Enhanced rules in IDAPA 16.03.10 and the Consumer-Directed Services rules in IDAPA 16.03.13 which are published on the Idaho Department of Administration Website.  A direct link to these two sections of rules is posted on this page, under the “What’s New” section.

The Medicaid HCBS rules implement requirements to ensure that individuals receiving Medicaid Home and Community Based Services are integrated in and supported to gain full access to their community. Idaho Medicaid is currently working with stakeholders to establish a resource toolkit that will  assist Idaho providers of Medicaid HCBS services to come into compliance with the new 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’ fourth version of the state plan. 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 4.


Ask The Program

We are interested in receiving your comments, recommendations, and questions as we work to move to full compliance with the new HCBS setting requirements. The State’s Transition Plan - Version 4 is posted here under Resources.  If you have any questions or comments about the plan or the new requirements (see Final Regulation under Resources) please send us an email and we will get back to you as soon as possible.

Email the program