Home and Community-Based Services (HCBS) Waivers

Home and Community-Based Services Waivers programs are the federally approved Medicaid programs authorized by Title XIX of the Social Security Act, Section 1915(c) that provide services in the home for persons who would otherwise require institutional care in a hospital, nursing facility, or intermediate care facility.

Current Waivers

HCB Settings Rule - Transition Plans and Waiver Updates

In January 2014, the Centers for Medicare and Medicaid Services (CMS) issued a final rule for home and community-based programs. The new rule contains requirements that ensure persons who receive Medicaid home and community-based services do so from providers who:

Additionally, the rule requires the Agency to provide an opportunity for the public to comment on its transition plan and any changes the state proposes to its home and community-based waivers and state plan program.

Florida developed a draft statewide transition plan detailing the steps to be taken to implement the new rule.  The statewide transition includes the transition plan for the following home and community-based services programs: the Long-term Care Managed Care Waiver, the Developmental Disabilities Individual Budgeting Waiver, the Familial Dysautonomia Waiver, the Project AIDS Care Waiver, the Traumatic Brain Injury and Spinal Cord Injury Waiver, the Adults Cystic Fibrosis Waiver, the Model Waiver and the Redirections state plan program.  To access the draft statewide transition plan, please see the link below.

Draft Florida Statewide Transition Plan [269KB PDF]

A hard copy of the transition plan may be requested by contacting us directly either by phone at (850) 412-4179 or by mail at:

Agency for Health Care Administration
Attention: HCBS Waivers
2727 Mahan Drive, MS #20
Tallahassee, Florida 32308

Public Notice and Comment Period

The 30-day public notice and public comment period for the draft statewide transition plan is being held to solicit meaningful public input from recipients, providers and all stakeholders on the development of the draft transition plan.

The public comment period begins February 13, 2015 and ends March 14, 2015. The Agency will consider all public comments received regarding the statewide transition plan. 

When providing comments regarding the draft transition plan, please have ‘Statewide Transition Plan’ referenced in the subject line. 

Comments and suggestions can be mailed to:

Agency for Health Care Administration
Attention: HCBS Waivers
2727 Mahan Drive, MS #20
Tallahassee, Florida 32308

Comments and suggestions can be emailed to:
FLMedicaidWaivers@ahca.myflorida.com.

Florida also developed draft waiver-specific transition plan for the following home and community-based waivers detailing the steps to be taken to implement the new rule. For more information on each waiver-specific transition plan, the public notice process or any upcoming amendments or renewals, please see the links below.

Reference Documents

HCBS Settings Rule Quick Reference [276KB PDF]

HCBS Rule Overview and Transition Planning 2014 [738KB PDF]

Federal Register: CMS-2249-F and CMS-2296-F [723KB PDF]