Washington State’s Statewide Transition Plan for New HCBS Rules


The Washington State Health Care Authority (HCA, the state’s Medicaid Agency), the Department of Social and Health Services (DSHS) Aging and Long-Term Support Administration (ALTSA) and Developmental Disabilities Administration (DDA) submit this proposed transition plan in accordance with the requirements set forth in the Centers for Medicare and Medicaid Services new requirements for Home and Community-based Services (HCBS Final Rule 42 CFR Parts 430, 431, 435, 436, 441 and 447) that became effective March 17, 2014. Washington State fully supports the intent of the HCBS setting rules. Washington State has long been an advocate for providing services to clients in the most integrated home and community-based settings, and is a leader in providing clients with choices regarding the settings in which long-term services and supports are provided and will continue its partnership with participants, advocacy groups, stakeholders and Tribes.

State Policies & Initiatives: 
Medicaid & Employment
  • Department of Intellectual and Developmental Disabilities
  • Medicaid Agencies
  • Other
  • Home and Community Based Services (HCBS)
  • Department of Social and Health Services
Date Enacted: