Statewide Transition Plan

Public Comment Period for Statewide Transition Plan

CMS requires states to submit a transition plan describing the state’s planned initiatives and activities for achieving compliance with the federal HCBS Settings Rule. HHSC has received initial approval of its transition plan and has updated the plan to include additional information required for CMS to grant final approval.

This version of the STP includes new information about site-specific assessments, ongoing monitoring and oversight, non-disability specific setting options, communications with beneficiaries regarding provider choice, and notification of provider non-compliance.

HHSC invites members of the public, including Medicaid HCBS recipients and their families, providers and other stakeholders to submit comments on the STP. The STP and appendices are available at the following links:

Written comments, requests to review comments or both may be sent by U.S. mail, overnight mail, special delivery mail, hand delivery, fax, or email.

All comments must be received by HHSC by 11:59pm on February. 13, 2023. Instructions for submitting comments:

Email: Medicaid_HCBS@hhs.texas.gov

U.S. Mail:
Texas Health and Human Services Commission
Attention: Rachel Neely, Office of Policy
John H. Winters Complex
701 W 51st Street
Mail Code H-600
Austin, TX 78751

Overnight mail, special delivery mail, or hand delivery:
Texas Health and Human Services Commission
Attention: Rachel Neely, Office of Policy
John H. Winters Complex
701 W 51st Street
Mail Code H-600
Austin, TX 78751
Phone number for package delivery: 512-438-4297

Fax:
Attention: Rachel Neely, Office of Policy at 512-438-5835

Overview of STP Requirements

CMS requires states to submit a transition plan describing their planned initiatives and activities to achieve compliance with the federal Home and Community Based Services Rule. The transition plan must include:

  • An assessment of settings where Medicaid HCBS are provided
  • Remediation strategies for settings that do not meet the requirements of the regulations
  • A summary of public and stakeholder input on the assessment processes and remediation strategies
  • A summary of public comments received on the transition plan and any revisions made to the plan in response to public comment

Texas submitted an initial STP to CMS in 2014 and has updated the plan based on responses from CMS. HHSC submitted the most recent version of the STP to CMS in April 2022. The most recent version of the STP and past STPs are available at the links below.

Previous versions:

CMS Guidance on HCBS Settings Rule