skip to content
Primary navigation

Transition plan for home and community-based settings

The federal Department of Health and Human Services' Centers for Medicare & Medicaid Services (CMS) published regulations in the Federal Register, effective March 17, 2014, which, among other things, changed the definition of HCBS settings for the 1915(c) and 1915(i) Medicaid HCBS waivers. The new definition considers a person’s experience and outcomes in addition to a setting’s location, geography or physical characteristics. 

Provider attestation deadline Sept. 1, 2017

All enrolled Minnesota home and community-based services (HCBS) waiver providers must have completed a process called attestation by Sept. 1, 2017, to demonstrate that they meet the new regulations under the HCBS rule or to indicate that they need more assistance. If you submitted a hardship extension request, you have until Dec. 31, 2017, to complete the attestation. More information is available at the attestation links below:

New laws 2017

DHS proposed changes to existing DHS licensing and housing with services requirements that became effective May 31, 2017. Please see the What’s new section below for detailed information.

HCBS settings deadline extension

On May 9, 2017, the Centers for Medicare & Medicaid Services (CMS) announced that states have until March 2022 (three additional years) to bring their systems into compliance with the HCBS settings requirements. Note: The provider attestation deadlines previously announced by DHS remain the same. Read more about the deadlines and requirements in the Phase 1 and Phase 2 provider attestation sections above. The new deadline of March 2022 is the deadline for the state to demonstrate that the entire system is compliant with the HCBS settings rule; the sooner we put the new requirements in place, the more time providers will have to transition fully, as needed.

Latest information

Minnesota's statewide transition plan

On June 2, 2017, the Centers for Medicare & Medicaid Services (CMS) granted Minnesota initial approval of its statewide transition plan to bring settings into compliance with the federal home and community-based services (HCBS) regulations.

To read more, see the June 2 letter from CMS to DHS (PDF)

Find out more

DHS video

View the Home and Community-Based Services Rule Overview video for more information.

On the web

back to top