The Centers for Medicare & Medicaid Services (CMS) recently released new regulations and guidance on the delivery of home and community-based services (HCBS) offered through Medicaid waiver programs. Through this new rule, CMS intends to ensure that individuals receiving HCBS through Medicaid waivers have full access to integrated, community living including receiving services in the most integrated setting possible. To increase understanding of the rule for individuals receiving services, family members and providers, the West Virginia Department of Health and Human Resources, Bureau for Medical Services will post information and relevant materials on this webpage.
To fully implement the new rule from CMS, West Virginia must submit a transition plan for each Medicaid waiver offering HCBS to ensure compliance of the new rule. The Bureau for Medical Services is solicited comments on the draft Transition Plans. There is one transition plan for each waiver. The transition plans will be combined into one Statewide Transition Plan. Comments from the public will be used to complete the final Statewide Transition Plan to submit to CMS.
The WV Statewide Transition Plan (STP) has been approved by CMS. Please see the approval letter and STP below:
CMS Response to West Virginia Inquiry Regarding Day Program Services and Residential Settings
WV Initial Approval Letter
Older Iteration Draft Versions
FAQ Fact Sheet about the HCBS Integrated Settings Final Rule
Milestones for implementation of the State Transition Plan
Protocol for Review of West Virginia Home and Community Settings
State Transition Plan Data Analysis 2019
State Transition Plan Data Analysis 2018
State Transition Plan Data Analysis 2017
If you have any questions, please email the Bureau for Medical Services at WVWaiverTransitions@wv.gov or call 304-356-4892.