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Mark your calendars: The first training will be a WebEx held on Friday, April 29, 2016 at 9:00 am, Mountain Time. This training will provide an overview of the changes made to Idaho administrative rules (IDAPA) that apply to all HCB service settings in Idaho. This includes residential assisted living facilities, certified family homes, developmental disability agencies, and adult day health centers.   Below is the information you need to join us.

Please note that a full training schedule of all planned trainings is posted on this website as well.  Just go the What’s New section and click on that link for all the details.

We hope you will join us!

Topic: Overview of HCBS Requirements 

Date and Time:
Friday, April 29, 2016 9:00 am, Mountain Daylight Time 
Event number: 665 367 683
Event password: HCBS

Click here for event address for attendees
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Audio conference information
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1-877-820-7831
Access Code 169996#

Presentation Slides

IMPORTANT NOTICE: This WebEx service includes a feature that allows audio and any documents and other materials exchanged or viewed during the session to be recorded. You should inform all meeting attendees prior to recording if you intend to record the meeting. Please note that any such recordings may be subject to discovery in the event of litigation.

Home and Community Based Services Rules

Medicaid Home and Community-Based Services (HCBS) proposed rules that were published on October 7, 2015 have been heard by the Idaho Legislature’s Health and Welfare committees.  On Monday January 25, 2016 the Medicaid HCBS rules passed unanimously in the Idaho Senate and also passed unanimously in the Idaho House of Representatives on Friday, January 29, 2016. The final Medicaid HCBS rules will be published on and become effective on July 1, 2016.  These rules are necessary for the state of Idaho to move into full compliance with the Federal law passed by the Centers for Medicare and Medicaid Services (CMS). 

The Medicaid HCBS rules will be used to ensure that individuals receiving Medicaid HCBS are integrated in and supported to gain full access to their community. Idaho Medicaid is currently working with stakeholders to establish a toolkit that will benefit Idaho providers of Medicaid HCBS services to come into compliance with the 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’ second submission of the state plan to CMS. 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 3.

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 is posted here under What’s New.  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