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The Tennessee Health Connection is now TennCare Connect

Transition Plan Documents for Federal Home and Community Based Services Rules

*10/24/14 UPDATE TO THIS SECTION: A notice relating to mandatory webinar sessions for HCBS Residential and Day Program service providers is now available. The notice contains a list of required participants, as well as dates, times, and additional information for the webinars, which will train Residential and Day Program service providers on how they will complete and submit their Provider Self-Assessments and/or Transition Plans.

*10/28/14 UPDATE TO THIS SECTION: Non-Residential and Residential Provider Self-Assessment Tools are now available for providers to use to determine compliance with the HCBS Settings Rule. A copy of the Provider presentation regarding how providers can complete and submit the Non-Residential and Residential Provider Self-Assessments and the validation process for these self-assessments is also available.

*11/3/14 UPDATE TO THIS SECTION: The Non-Residential and Residential Provider Self-Assessment Tools have been revised and the finalized tools are available below. Providers will also receive word versions of these documents from either a Managed Care Organization or the Department of Intellectual and Developmental Disabilities, as applicable.

*11/7/14 UPDATE TO THIS SECTION: The final version of the Transition Plan, which has been submitted to CMS for approval, and a revised version of the Residential Provider Self-Assessment Tool, have been posted below. Additionally, we are adding the Department of Labor-Home and Community-Based Services Provider Training Invitation for the Provider Trainings that were conducted in July 2014 regarding the new Department of Labor and CMS HCBS Settings and Person-Centered Planning Rules.

*11/13/14 UPDATE TO THIS SECTION: The final version of the Transition Plan was approved by CMS on November 7, 2014. The Approved Transition Plan is included below. Additionally, the Provider presentation on the self-assessment process has been modified based on provider feedback and is included below.

*11/17/14 UPDATE TO THIS SECTION: A recording of the webinar for HCBS Residential and Day Program service providers is included below.

*12/5/14 UPDATE TO THIS SECTION: A revised Employment Data Sheet is included below. The Individual Experience Assessment Tool has been temporarily removed from the site, and a revised version of that tool will be posted the week of December 8th, 2014.

*12/19/14 UPDATE TO THIS SECTION: The Individual Experience Assessment Tool is being reviewed by the Department of Intellectual and Developmental Disabilities and TennCare’s contracted Managed Care Organizations. The revised tool will be posted by the end of January 2015.

*12/23/14 UPDATE TO THIS SECTION: The Proposed Statewide Transition Plan is included below with track changes to identify changes from the waiver-specific transition plan, which was approved by CMS. TennCare is accepting public comment on the Proposed Statewide Transition Plan beginning today through January 22nd, 2015. Comments can be provided by accessing the first link after the list of documents below.

*1/23/15 UPDATE TO THIS SECTION: The public comment period for the Proposed Statewide Transition Plan has ended. Additional guidance from CMS concerning Non-Residential Settings has been included immediately after the documents listed below.

*1/26/15 UPDATE TO THIS SECTION: The clean version of the revised Proposed Statewide Transition Plan that was sent to CMS, which incorporates public comments, is included below. Additionally, a track changed version of the same document is also included below to indicate language that was amended based on public comment.

*2/3/15 UPDATE TO THIS SECTION: The Individual Experience Assessment (IEA) Tool has been revised based on feedback received after the IEA trainings were completed, and the tool is available in the list of documents below. IEAs are to be completed by January 31, 2016 with each person receiving residential and/or day services. These assessments will be conducted by Independent Support Coordinators, DIDD Case Managers, and Managed Care Organization Care Coordinators as appropriate.

*2/6/15 UPDATE TO THIS SECTION: Based on feedback from HCBS providers, an FAQ document regarding provider self-assessments has been created to assist providers in completing the self-assessment and is available in the list of documents below.

*2/24/15 UPDATE TO THIS SECTION: An updated crosswalk for the Residential Provider Self-Assessment has been included directly following the Residential Provider Self-Assessment Tool in the list of documents below.

*11/2/2015 UPDATE TO THIS SECTION: TennCare has posted a revised Statewide Transition Plan, which amends the previous Statewide Transition Plan posted on 1/26/15. The Statewide Transition Plan posted today has been updated based on results of State, provider, and contracted entity self-assessment of compliance with the HCBS Settings Rule. All changes from the 1/26/15 version are in track changes. Please see the Document “Revised Proposed Statewide Transition Plan with Track Changes - November 2, 2015” below. TennCare will post the link to submit comments in the coming days. The comment period will continue for 30 days once the link is made available.

*11/13/2015 UPDATE TO THIS SECTION: TennCare has posted a revised version of the Statewide Transition Plan posted on November 2, 2015. Changes made to the November 2, 2015 are indicated with highlighting in the track changes document. TennCare has extended the comment period on the revised Statewide Transition Plan to December 13, 2015 as a result of this revised posting.

*12/11/2015 UPDATE TO THIS SECTION: TennCare has posted a memorandum explaining the State's heightened scrutiny review process for home and community-based settings related to the federal home and community-based services settings rule. That document is available under the HCBS Settings Resources tab on this page.

*12/15/2015 UPDATE TO THIS SECTION: TennCare is extending the comment period for the revised Statewide Transition Plan an additional 30 days. The previous deadline for comments was December 13, 2015. TennCare will now accept comments through January 13, 2016. You can find the Plan and information about commenting under the “Transition Plan” subheading on this webpage.

*1/14/16 UPDATE TO THIS SECTION: The extended public comment period has ended. TennCare is no longer accepting comments on the revised Statewide Transition Plan, but that plan is still accessible below for review.

*2/5/16 UPDATE TO THIS SECTION: The State has provided three additional documents on this page under the “HCBS Settings Resources” tab relating to the federal HCBS Settings Rule: A State document addressing frequently asked questions about the Rule, a presentation that the State gave to HCBS providers concerning the upcoming State heightened scrutiny process, and a letter for providers and families relating to facility-based day services under the Rule.

*3/4/16 UPDATE TO THIS SECTION: The State has provided 9 additional documents on this page relating to the federal HCBS Settings Rule and the State’s Heightened Scrutiny Review Process. These documents can be found in the “HCBS Settings Resources” tab under the subheading “Additional Resources on the State’s Heightened Scrutiny Process”. These documents include: A State PowerPoint presentation for contracted entities and provider agencies giving guidance on the HCBS Settings Rule requirements and providing details on what to expect with the State’s Heightened Scrutiny Review Process; Heightened Scrutiny Assessment Tools for Facility-Based Day and Residential and Adult Day Care Settings; a Heightened Scrutiny Documentation Assessment Tool with guidance for required documentation; a Heightened Scrutiny On-Site Assessment Tool outlining the State’s Heightened Scrutiny process for on-site visits; Heightened Scrutiny Documentation Assessment Tools for Adult Day Care, Facility-Based Day, and Residential Settings that outline the sample size and required documentation for these settings; and a Heightened Scrutiny Interview Topics document providing guidance on the interview topics for the persons supported and staff.

*3/9/16 UPDATE TO THIS SECTION: The State has added a recording of its consumer and family webinar on the State’s Heightened Scrutiny Process for HCBS Settings. That recording can be found on this page under the “HCBS Settings Resources” tab.

*3/22/16 UPDATE TO THIS SECTION: The State has added a Heightened Scrutiny Tool specific to Adult Care Homes under the HCBS Settings Resources Tab.

*4/13/16 UPDATE TO THIS SECTION: The State has added its regulatory crosswalk for the HCBS Settings Rule that reviews areas of compliance and needed remediation for the State's HCBS settings under its 1915c and 1115 Waivers.

*4/15/16 UPDATE TO THIS SECTION: The State received notification of initial and final approval of its Statewide Transition Plan (STP) from CMS on April 13, 2016. The STP documents on this page under the "Transition Plans" section have been updated from "Proposed" to "Approved" to reflect CMS approval.

*6/27/16 UPDATE TO THIS SECTION: The State has added HCBS Settings Transition Plan for Provider Agencies document to this page under the "HCBS Settings Rule" subheading.

*11/17/16 UPDATE TO THIS SECTION: The State has added its Statewide Transition Plan Quarterly Status Report from July 2016 under the Transition Plans subheading on this webpage.

*10/15/2018 UPDATE TO THIS SECTION: The State has added its Statewide Transition Plan Quarterly Status Reports from October 2016 to July 2018 under the Transition Plans subheading on this webpage.

HCBS Settings Rule