In March 2014, the Center for Medicaid and Medicare Services (CMS) published a final rule regarding changes to Home and Community Based Waiver Services (HCBS Waiver). The rule defines home and community based settings and person-centered planning requirements in Medicaid HCBS Waiver programs. The rule requires demonstration of how state's HCBS Waiver programs comply with the federal HCBS rules.

Missouri's draft transition plan incorporates all HCBS Waivers administered by Department of Health and Senior Services (DHSS), Department of Mental Health (DMH), and Department of Social Services (DSS). The purpose of Missouri's draft transition plan is to ensure that individuals receiving HCBS Waiver services are integrated and have access to supports in the community, including:

  • opportunities to seek employment,
  • work in competitive integrated settings,
  • engage in community life,
  • and control personal resources.

The transition plan provides assurances that individuals receiving HCBS Waiver services have the same degree of access and choice as individuals not receiving Medicaid HCBS Waiver services. This transition plan outlines the proposed process that DHSS, DMH and MO HealthNet Division (MHD) will be utilizing to ensure implementation of the HCBS requirements. Stakeholders are being asked to provide public input and comment in order to allow Missouri to develop a comprehensive assessment plan.