Pennsylvania’s Home and Community-Based Settings CMS Final Rule Statewide Transition Plan (Spring 2016)


State Policies & Initiatives: 
Medicaid & Employment
In January 2014, the Centers for Medicare & Medicaid Services (CMS) issued a new rule (CMS rule) that states must follow to review and evaluate settings in which home and community-based services (HCBS) are provided, which include residential and nonresidential settings. The CMS rule became effective on March 17, 2014 and requires states to demonstrate compliance. To show compliance, states must submit a statewide transition plan (STP) and waiver specific transition plans.
CMS is moving away from defining home and community-based settings by “what they are not,” and toward defining them by the nature and quality of participants’ experiences. The home and community-based setting provisions in this final rule established a more outcome-oriented definition of home and community-based settings, as opposed to one based solely on a setting’s location, geography, or physical characteristics. 
Pennsylvania submitted a statewide transition plan to CMS on April 1, 2015, following input from a public comment process. The Department received a letter from CMS on September 16, 2015, outlining questions and suggested changes for the statewide transition plan. The Department will submit a revised STP to CMS in March 2016.
  • Medicaid Agencies
  • Home and Community Based Services (HCBS)
Date Enacted: