Amended Statewide Transition Plan
Pursuant to 42 C.F.R. § 441.301, the Oklahoma Health Care Authority (OHCA)
is required to give public notice and receive public input on any significant
proposed changes to the 1915(c) Home and Community-Based Services (HCBS)
Oklahoma Transition Plan for Home and Community-Based Services (HCBS)
The purpose of this Transition Plan is to ensure the individuals receiving
Home and Community-Based Services (HCBS) are integrated in 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 State has prepared a revised transition plan in order to
comply with federal regulations for community-based settings. Overall, the
Transition Plan provides assurance that the individuals receiving HCBS have the
same degree of access as individuals not receiving Medicaid HCBS. This updated
Transition Plan outlines the proposed process that Oklahoma will be utilizing
to ensure implementation of the new HCBS requirements.
All HCBS settings have to
be in compliance by March 2019. The State must continue to submit
Statewide Transition Plans to CMS until both an initial and final
approval of the plan is received. The following is an outline of the CMS
Statewide Transition Plan submission and approval process:
- Initial Proposed Plan
- Clarifications and/or Modifications required for
Initial Approval (CMIA): The communication CMS sends to the state
notifying the state that public comment, input and summary requirements
are met, but CMS has identified issues that must be resolved in the STP
prior to initial approval.
- Initial Approval with Milestones and a Resubmission
Date: The communication CMS sends to the state notifying the state that
public comment, input and summary requirements are met, the STP is
sufficient, but systemic and/or site-specific assessments are not yet
completed. The response to the state will vary dependent on whether
the state has or has not identified settings that are presumed to have
institutional characteristics and any information the state may wish CMS
to consider under the heightened scrutiny process.
- Final Approval: The communication CMS sends to the
state notifying the state that public comment, input and summary
requirements are met, the STP has provided all necessary information
including but not limited to; systemic assessment, site specific
assessment, settings presumed to have institutional characteristics,
information regarding heightened scrutiny or the state’s decision to let
the presumption stand, and clear remedial steps with milestones are
- Approved Plan: The CMS approved STP.
Please view the Amended Statewide Transition Plan in its entirety here: Amended Statewide Transition Plan. The plan will be posted for public comments from December 22, 2016 - January 22, 2017. The Amended Statewide Transition Plan was submitted to CMS on December 22, 2016.
For more information regarding the Statewide Transition Plan, please see the training webinar video.
Previous Submissions and CMS Feedback, concerning the Statewide Transition Plan, can be viewed here:
Please submit your
comments via the comment box below. Written comments will also be
accepted and can be sent to the Oklahoma Health Care Authority, 4345 N.
Lincoln Blvd. Oklahoma City, Oklahoma 73105. Attention: Health Policy
1915(c) Waivers. A non-electronic version of this Statewide Transition
Plan can be requested by writing to the address above or calling