Statewide Transition Plans

The table below provides all available documents related to Statewide Transition Plans. The table will be updated as states submit additional documents and additional documents are available from CMS. More information about the statewide transition plans and the final HCBS regulation published January 26, 2014, is available under Recent Guidance on the HCBS page.

State	Status	Documents
Alabama	Initial Approval3	Alabama Proposed Plan Alabama Clarifications and/or Modifications required for Initial Approval (CMIA) Alabama Initial Approval
Alaska	Initial Approval3	Alaska Proposed Plan Alaska CMIA Alaska Initial Approval Alaska Initial Approval Addendum Alaska Final Approval
Arizona	Initial Approval3	Arizona Proposed Plan Arizona CMIA Arizona Initial Approval
Arkansas	Final Approval4	Arkansas Proposed Plan Arkansas CMIA Arkansas Initial Approval Arkansas Final Approval Arkansas Approved Plan
California	CMIA2	California Proposed Plan California CMIA California Initial Approval California Initial Approval Addendum
Colorado	CMIA2	Colorado Proposed Plan Colorado CMIA
Connecticut	Initial Approval3	Connecticut Proposed Plan Connecticut CMIA Connecticut Initial Approval
Delaware	Final Approval4	Delaware Proposed Plan Delaware CMIA Delaware Initial Approval Delaware Final Approval
District of Columbia	Final Approval4	District of Columbia Proposed Plan District of Columbia CMIA District of Columbia Initial Approval District of Columbia Final Approval District of Columnbia Approved Plan
Florida	CMIA2	Florida Proposed Plan Florida CMIA
Georgia	Initial Approval3	Georgia Proposed Plan Georgia CMIA Georgia Initial Approval Georgia Initial Approval Addendum
Hawaii	Initial Approval3	Hawaii Proposed Plan Hawaii CMIA Hawaii Initial Approval Hawaii Initial Approval Addendum
Idaho	Initial Approval3	Idaho Proposed Plan Idaho CMIA Idaho Initial Approval Idaho Final Approval
Illinois	CMIA2	Illinois Proposed Plan Illinois CMIA
Indiana	Initial Approval3	Indiana Proposed Plan Indiana CMIA Indiana Initial Approval Indiana Initial Approval Addendum
Iowa	Initial Approval3	Iowa Proposed Plan Iowa CMIA Iowa Initial Approval
Kansas	CMIA2	Kansas Proposed Plan Kansas CMIA
Kentucky	Final Approval4	Kentucky CMIA Kentucky Initial Approval Kentucky Final Approval Kentucky Approved Plan
Louisiana	Initial Approval3	Louisiana Aging and Adult Proposed Plan Louisiana Developmental Disabilities Proposed Plan Louisiana Behavioral Health Proposed Plan Louisiana CMIA Louisiana Initial Approval Louisiana Initial Approval Addendum
Maine	CMIA2	Maine Proposed Plan Maine CMIA
Maryland	Initial Approval3	Maryland Proposed Plan Maryland CMIA Maryland Initial Approval Maryland Initial Approval Addendum
Massachusetts	CMIA2	Massachusetts Proposed Plan Massachusetts CMIA
Michigan	Initial Approval3	Michigan Proposed Plan Michigan CMIA Michigan Initial Approval Michigan Initial Approval Addendum
Minnesota	Initial Approval3	Minnesota Proposed Plan Minnesota CMIA Minnesota Initial Approval Minnesota Initial Approval Addendum
Mississippi	Initial Approval3	Mississippi Proposed Plan Mississippi CMIA Mississippi Initial Approval Mississippi Initial Approval Addendum
Missouri	Initial Approval3	Missouri Proposed Plan Missouri CMIA Missouri Initial Approval Missouri Initial Approval Addendum
Montana	Initial Approval3	Montana Proposed Plan Montana CMIA Montana Initial Approval Montana Initial Approval Addendum
Nebraska	Initial Approval3	Nebraska Proposed Plan Nebraska CMIA Nebraska Initial Approval Nebraska Initial Approval Addendum
Nevada	CMIA2	Nevada Proposed Plan Nevada CMIA
New Hampshire	Initial Approval3	New Hampshire Proposed Plan New Hampshire CMIA New Hampshire Initial Approval New Hampshire Initial Approval Addendum
New Jersey	CMIA2	New Jersey Proposed Plan New Jersey CMIA
New Mexico	Initial Approval3	New Mexico Proposed Plan New Mexico CMIA New Mexico Initial Approval
New York	CMIA2	New York Proposed Plan New York CMIA New York Initial Approval
North Carolina	Initial Approval3	North Carolina Proposed Plan North Carolina CMIA North Carolina Initial Approval North Carolina Initial Approval Addendum
North Dakota	Initial Approval3	North Dakota Proposed Plan North Dakota CMIA North Dakota Initial Approval
Ohio	Initial Approval3	Ohio Proposed Plan Ohio CMIA Ohio Initial Approval
Oklahoma	Final Approval4	Oklahoma Proposed Plan Oklahoma CMIA Oklahoma Initial Approval Oklahoma Final Approval
Oregon	Initial Approval3	Oregon Proposed Plan Oregon CMIA Oregon Initial Approval
Pennsylvania	Initial Approval3	Pennsylvania Proposed Plan Pennsylvania CMIA Pennsylvania Initial Approval
Rhode Island	Initial Approval3	Rhode Island Proposed Plan Rhode Island CMIA Rhode Island Initial Approval Rhode Island Initial Approval Addendum
South Carolina	Initial Approval3	South Carolina Proposed Plan South Carolina CMIA South Carolina Initial Approval
South Dakota	Initial Approval3	South Dakota Proposed Plan South Dakota CMIA South Dakota Initial Approval South Dakota Initial Approval Addendum
Tennessee	Final Approval4	Tennessee Proposed Plan Tennessee CMIA Tennessee Initial Approval Tennessee Final Approval Tennessee Approved Plan
Texas	CMIA2	Texas Proposed Plan Texas CMIA
Utah	Initial Approval3	Utah Proposed Plan Utah CMIA Utah Initial Approval Utah Initial Approval Addendum
Vermont	Initial Approval3	Vermont Proposed Plan Vermont CMIA 10/29/15 Vermont CMIA 12/30/15 Vermont Initial Approval Vermont Initial Approval Addendum
Virginia	Initial Approval3	Virginia Proposed Plan Virginia CMIA Virginia Initial Approval
Washington	Final Approval4	Washington Proposed Plan Washington CMIA Washington Initial Approval Washington Final Approval
West Virginia	Initial Approval3	West Virginia Proposed Plan West Virginia CMIA West Virginia Initial Approval
Wisconsin	Initial Approval3	Wisconsin Proposed Plan Wisconsin CMIA Wisconsin Initial Approval Wisconsin Initial Approval Addendum
Wyoming	Final Approval4	Wyoming Proposed Plan Wyoming CMIA Wyoming Initial Approval Wyoming Final Approval Wyoming Approved Plan

 

1. Proposed Plan URL: The URL link to the STP the state submitted to CMS.
2. Clarifications and/or Modifications required for Initial Approval (CMIA): The communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, but CMS has identified issues that must be resolved in the STP prior to initial approval.
3. Initial Approval with Milestones and a Resubmission Date: The communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, the STP is sufficient, but systemic and/or site-specific assessments are not yet completed.  The response to the state will vary dependent on whether the state has or has not identified settings that are presumed to have institutional characteristics and any information the state may wish CMS to consider under the heightened scrutiny process.  
4. Final Approval: The communication CMS sends to the state notifying the state that public comment, input and summary requirements are met, the STP has provided all necessary information including but not limited to; systemic assessment, site specific assessment, settings presumed to have institutional characteristics, information regarding heightened scrutiny or the state’s decision to let the presumption stand, and clear remedial steps with milestones are delineated.  
5. Approved Plan:  The CMS approved STP.