Home & Community-Based Services (HCBS) Final Rule

In 2014, the Centers for Medicare and Medicaid Services (CMS) published the HCBS Final Rule related to Medicaid–funded Home and Community–Based Services (HBCS). This rule implements a number of changes to home and community–based waivers, and imposes new requirements on what is considered an appropriate home and community–based setting for all the authorities in its scope.

The links below contain the most recent amended HCBS Final Rule Statewide Transition Plan (STP), to come into compliance with the federal regulation, that have been submitted to CMS. The first link is to the HCBS STP that received initial approval from CMS in November of 2018, with the approval letter and feedback for final approval letter beneath. The additional resources below provide an overview of the Statewide Transition Plan, amendments made to the Plan, our public comment process, the final rule, and person-centered planning tools and education.

Check back soon for our Person–Centered Planning Online Toolkit

The New York State Department of Health (DOH) is sponsoring the Person–Centered Planning Comprehensive System Transformation Statewide Training Initiative in 2019 and 2020 to support best and promising practices in Home and Community–Based Services (HCBS) person–centered planning and practice throughout the State.

The learning opportunities and trainings offered as part of this the initiative are at no–cost for people who are providing, using, supporting, and overseeing home and community–based services in New York.

What are Home and Community–Based Services?

They include, but are not limited to: personal care, home health aides, homemaker services, adult day health care, social adult day care, respite, case management, habilitation, day treatment, rehabilitation, psychosocial rehabilitation, employment/ vocational services, and other services that reduce cost and help prevent individuals from needing nursing home or other institutional care.

DOH is also providing a free Person–Centered Planning Online Toolkit that will be located at this web address! This resource will be available to all, and includes:

  •           • Person–Centered Planning sample templates
  •           • Recommended policies
  •           • Best practice examples
  •           • Planning and practice tools
  •           • Exercises
  •           • Recorded training webinars

Stay tuned for more information!

For more information on the available training opportunities and to register for sessions, go here.