​HCBS Statewide Transition Plan

The California Department of Health Care Services (DHCS) submitted the revised Statewide Transition Plan (STP) to the Centers for Medicare & Medicaid Services (CMS) on November 23, 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 115, 1915(c), 1915(i) and 1915(k) HCBS waivers and State Plan programs must be in full compliance with the new federal rules by the new extended date of March 17, 2023. CMS issued guidance to states on July 14, 2020, indicating that the transition period for ensuring compliance with the HCBS Final Rule was extended in response to the COVID-19 pandemic. See the Federal Policy Guidance.
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 is committed to working with partner agencies and stakeholders throughout the transition period.
Below, is DHCS revised Statewide Transition Plan (STP), describing California’s current efforts and actions the state proposes to ensure Home and Community-Based Service (HCB) providers achieve compliance with the federal HCB settings rule. CMS granted initial approval of California’s STP on February 23, 2018. DHCS is required to seek advice from designees of Indian Health Programs and Urban Indian Organizations on Medi-Cal matters having a direct effect on Indians, Indian Health Programs or Urban Indian Organizations per the American Recovery and Reinvestment Act of 2009 (ARRA). The STP was submitted for tribal review on May 20, 2021. The public comment period will open June 19, 2021 through July 19, 2021. As the state continues to work toward public comment and final approval of the STP, DHCS will update the STP website with information regarding the STP, instructions for public comment, and transition activities throughout the approval process and transition period. DHCS encourages stakeholders to continue to visit the website for additional information and to email STP@dhcs.ca.gov with any questions, or to request a hard copy of the STP. For more information on the CBAS STP, please visit the CBAS STP landing page.
Public comments should be submitted through the following routes:
Online at: Department of Health Care Services HCBS STP Public Comment Form

By US Mail:

Department of Health Care Services
Integrated Systems of Care Division
1501 Capitol Avenue, MS 4502
Sacramento, CA 95899
AttachmentI Draft Community-Based Adult Services (CBAS) Home and Community-Based (HCB)Settings Transition Plan
Attachment II DHCS Residential On-Site Assessment Tool
Attachment III MSSP Adult ADC On-site Day Center (ADC) On-site Assessment Tool
Attachment IV MSSP Congregate Meal On-site Assessment Tool
Attachment V DDS Non-residential Virtual Site Assessment Tool
Attachment VI DDS Residential Virtual Site Assessment Tool
Attachment VII MSSP Adult ADC On-site Day Center (ADC) Self-Assessment Instructions and Tool
Attachment VIII MSSP Congregate Meal Self-Assessment Instructions and Tool
Attachment IX MSSP Site Self-Assessment Instructions and Tool
Attachment X Residential Rental Agreements Guidelines
Attachment XI Setting Assessment Process
Attachment XII STP Timeline and Milestones
Attachment XIII - STP On-Site Assessment Tool - Residential
Attachment XIV - STP On-Site Assessment Tool - Non-Residential
Attachment XV - STP Provider Self-Survey Tool - Residential
Attachment XVI - STP Provider Self-Survey Tool - Non-Residential

Public Comment Periods

DHCS conducted public comment periods for stakeholder feedback on the STP and On-Site Assessment and Provider Self-Survey Tools: ​​
  • Statewide Conference Call, September 27, 2016
  • Draft STP Comment Period, August 29, 2016, through September 29, 2016
  • Final STP, On-Site Assessment, and Provider Self-Survey Tools Stakeholder Conference Call, August 20, 2015 
  • Draft STP, On-Site Assessment, and Provider Self-Survey Tools Stakeholder Conference Call, July 13, 2015
  • Draft STP Public Comment Period, July 2, 2015, through July 31, 2015
  • On-Site Assessment and Provider Self-Survey Tools Public Comment Period, May 22, 2015, through June 30, 2015
  • Stakeholder Conference Call, December 2, 2014
  • Draft STP Public Comment Period November 7, 2014, through December 8, 2014
  • Stakeholder Conference Call, October 21, 2014
  • Draft STP Public Comment Period September 19, 2014, through October 20, 2014



Additional Links

HCB Settings Rule:

HCBS Training

For more information regarding the new Federal HCBS setting requirements, please visit:

Medicaid.gov Home and Community-Based Services website

 If you have additional questions or comments regarding the Statewide Transition Plan, please email STP@dhcs.ca.gov
Last modified date: 6/24/2021 9:31 AM