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HCBS Statewide Transition Plan

The California Department of Health Care Services (DHCS) has developed a Statewide Transition Plan (STP) submitted to the Centers for Medicare & Medicaid Services (CMS) on August 14, 2015.  The STP describes how the State will come into compliance with new Federal Home and Community-Based (HCB) setting requirements that became effective March 17, 2014.  These regulations are CMS 2249-F and CMS 2296-F, which affect 1915(c) and 1915(i) HCB services waivers and State Plan programs.  In accordance with the new rules, the State must develop an STP within 120 days of submission of any waiver amendment or renewal of a 1915(c) waiver or 1915(i) program.  This trigger date was initiated with the submission of the Multipurpose Senior Services Program (MSSP) Waiver renewal on August 22, 2014.  Please note that CMS requires all individual waivers/programs to contain approved Transition Plans no later than March 16, 2019.  Further, all 1915(c) and 1915(i) HCB services waivers and State Plan programs must be in full compliance with the new Federal rules by March 16, 2019.
DHCS has worked with partner agencies, including the Department of Developmental Services (DDS), the California Department of Aging (CDA), the California Department of Public Health (CDPH), California Department of Social Services (CDSS), Stakeholders, and other entities to develop the STP and attachments.  We are pleased to post for public viewing the final California STP and attachments.


The Stakeholder conference call will be held on August 20, 2015 from 1:00pm to 3:00pm. 

Public Comment Periods

DHCS conducted public comment periods for stakeholder feedback on the STP and On-Site Assessment and Provider Self-Survey Tools:  
  • Draft STP Public Comment Period September 19, 2014, through October 20, 2014

  • Stakeholder Conference Call, October 21, 2014

  • Draft STP Public Comment Period November 7, 2014, through December 8, 2014

  • Stakeholder Conference Call, December 2, 2014

  • On-Site Assessment and Provider Self-Survey Tools Public Comment Period, May 22, 2015, through June 30, 2015

  • Draft STP Public Comment Period, July 2, 2015, through July 31, 2015

  • Draft STP, On-Site Assessment, and Provider Self-Survey Tools Stakeholder Conference Call, July 13, 2015

  • Final STP, On-Site Assessment, and Provider Self-Survey Tools Stakeholder Conference Call, August 20, 2015


Draft (December 19, 2014) HCBS Statewide Transition Plan

Draft (July 1, 2015) HCBS Statewide Transition Plan

Draft STP On-Site Assessment Tool - Residential

Draft STP On-Site Assessment Tool - Non-Residential

Draft Provider Self-Survey Tool - Residential

Draft Provider Self-Survey Tool - Non-Residential

Additional Links

HCB Settings Rule:

Fact Sheet

Frequently Asked Questions


For more information regarding the new Federal HCBS setting requirements, please visit: Home and community-based services website

 If you have additional questions or comments regarding the Statewide Transition Plan, please email
Last modified on: 11/24/2015 2:26 PM