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HCBS Statewide Transition Plan

The California Department of Health Care Services (DHCS) is developing a revised Statewide Transition Plan (STP) that will be submitted to the Centers for Medicare & Medicaid Services (CMS) in October 2016.  The STP describes how the State will come into compliance with new Federal Home and Community-Based (HCB) Settings Final Rule that became effective March 17, 2014.  These regulations are CMS 2249-F and CMS 2296-F, which affect 1115, 1915(c), 1915(i) and 1915(k) Home and Community-Based Services (HCBS) waivers and State Plan programs.  All 1115, 1915(c), 1915(i), and 1915(k) HCBS waivers and State Plan programs must be in full compliance with the new Federal rules by March 17, 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 revised STP and attachments.  DHCS and state partners have updated the STP based on the CMS guidance letter, which can be found at:
DHCS invites all interested parties to review the revised STP, including the CBAS Transition Plan, and provide public input.  The 30-day public comment period will begin on August 29, and ends on September 29, 2016.  Public comments on the STP should be aubmitted via the STP Public Comment Template, available below.
Please mail or email public comments using the contact information below.  DHCS will review all feedback and incorporate into the STP, as appropriate.  Public input is essential to the development and implementation of the STP, and will assist the state to achieve approval of the STP and compliance with the HCB Settings Final Rule.
DHCS will host a statewide conference call on September 27, from 3pm to 5pm to discuss the revised STP, milestones and timelines, state strategies for HCB setting compliance, and any questions or concerns raised by stakeholder and the public.  
To Participate in the Conference Call and Webinar

Please click here to access the webinar, and then enter the following information:

Conference number: PWXW9883924
Audience passcode: 5798596


For audio, call: 888-790-1780

Participant passcode: 5798596

To download the webinar please click here.  

We are pleased to post for public viewing the revised California STP and attachments.


Contact Information:

Department of Health Care Services

Long-Term Care Division

1501 Capitol Avenue, MS 4502

P.O. Box 997437

Sacramento, CA 95899-7413


Prior California Statewide Transition Plan Reviewed by CMS 


Public Comment Periods

DHCS conducted public comment periods for stakeholder feedback on the STP and On-Site Assessment and Provider Self-Survey Tools: 
  •  Stakeholder Conference Call, August 20, 2015
  • 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: 9/27/2016 11:28 AM