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Wisconsin Medicaid Home and Community-Based Services Statewide Transition Plan

Request for Public Comments

The Wisconsin Department of Health Services operates several programs under federal authority from the Centers for Medicare and Medicaid Services (CMS) Medicaid Home and Community-Based Services (HCBS) waivers. Waivers give states options to provide Medicaid services in home and community-based settings. In 2014, CMS published new regulations that changed the definition of HCBS settings in its waivers. The regulations ensure that Medicaid long-term care programs provide full access to the benefits of community living and offer services in the most integrated settings. The state must submit a statewide transition plan that identifies how it will come into compliance with the new outcome-oriented definition of HCBS settings by March 17, 2019. The new regulations can be found on CMS' Website (exit DHS).

The Department is seeking comments on the draft five-year statewide transition plan for all waiver programs covered by the CMS regulations. Note: DHS is waiting for further guidance from CMS regarding the interpretation of the regulations as they pertain to settings for day services. The draft document is subject to change pending receipt of CMS guidance and public comments.

Draft Wisconsin Medicaid Home and Community-Based Settings Statewide Transition Plan (PDF, 88 KB)

Please send comments to:

Email:, Subject: Statewide Transition Plan

Standard, unencrypted public email is not considered appropriate for sending confidential information. Please do not send sensitive, personal information such as an account number or social security number when corresponding at the email address provided.

Mail written comments to:
Division of Long Term Care
Attn: Statewide Transition Plan
1 West Wilson St, Room 518
PO Box 7851
Madison WI 53707-7851

Comments are due by: December 29, 2014

Last Revised: November 26, 2014