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 – Assessment Tools

The HCB Settings Assessment tools and instructions:

Instructions – HCB Assessment Tool [91KB]

Long-term Care Waiver

iBudget Waiver

HCB Settings Recipient Review Tool

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.

The public comment period for the draft statewide transition plan was held February 13, 2015 through March 14, 2015.  After the 30-day comment period, the draft statewide transition plan was revised based on public comments; both the revised plan and a summary of comments was submitted to CMS on March 17, 2015.  These documents can be viewed below. When approved by CMS, the statewide transition plan will also be posted here.

Hard copies of the documents are available by contacting the Agency by phone:  (850) 412-4179; email: FLMedicaidWaivers@ahca.myflorida.com; or mail:

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

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.

July 2015 - Public Meetings for HCB Settings Characteristics Review Tools

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]