Transition Plan and Provider Requirements: Settings Final Rule Compliance Status


State Policies & Initiatives: 
Medicaid & Employment

~~The Centers for Medicare and Medicaid (CMS) issued a new regulation (42 CFR §441.301(c)(6)) that requires that all Medicaid-funded services be provided in settings that exhibit home and community-based characteristics and do not isolate recipients. This includes opportunities to seek employment and work in competitive and integrated settings, engage in community life, control personal resources, have full access to benefits of community living, and opportunities to receive services in the community to the same degree as people who do not receive home and community based services….The State of Alaska has been working with CMS and providers on a transition plan to bring Alaska into settings compliance since 2014 when the “final rule” was published.

This chart shows the percentages of providers in each compliance category as of May 4, 2018.

  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: