Nebraska HCBS Transition Plan


In March 2014, the Center for Medicaid and Medicare Services (CMS) published the final rule regarding changes to home and community-based waiver services (HCBS waiver) which defines home and community-based settings and person-centered planning requirements in Medicaid HCBS waiver programs. The purpose of this regulation is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. 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 home and community-based services. The rule requires demonstration of how each state’s HCBS Waiver programs comply with the new federal HCBS rules and that “community-like” settings, both residential and day,  be defined by the nature and quality of the experiences of individuals receiving services. Compliance with the Final Rule across HCBS waivers must be demonstrated by each state by March 17, 2019

State Policies & Initiatives: 
Medicaid & Employment
  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: