Home and Community-Based Services Setting Transition

The Centers for Medicare and Medicaid Services (CMS) has issued regulations that define the settings in which it is permissible for states to pay for Medicaid home and community-based services (HCBS). The purpose of these regulations is to ensure that individuals receive Medicaid HCBS in settings that are integrated in and support full access to the greater community. The Office of Behavioral Health (OBH) has developed a transition plan for the purpose of ensuring that HCBS settings within the Coordinated System of Care (CSoC) meet the requirements of the rule and to allow the public an opportunity to provide input on the transition. Comments or questions may be sent to obh-hcbs@la.gov.

Statewide Transition Plan (STP):  


In compliance with CMS’ requirements, the Department of Health submitted a transition plan to CMS that explains how the state will bring its HCBS waivers into compliance with the new regulations. The department determined that it was necessary to update our statewide transition plan and hereby gives public notice of its intent to submit the updated transition plan addendum to CMS. The update to the statewide transition plan is contingent on CMS approval.

 The Louisiana Department of Health invites you to review and comment on our updated HCBS statewide transition plan addendum. To request a hard copy, email obh-hcbs@la.gov or call (225) 342-2540. You may submit comments electronically to obh-hcbs@la.gov or by mail to:

Office of Behavioral Health

c/o Missy Graves

Post Office Box 4049, Bin #12

Baton Rouge, LA 70802


The deadline for receipt of all written comments is March 25, 2018, by 4:30 p.m.


The following version of the STP includes these revisions and was submitted to CMS for Initial Approval review on October 26, 2016. 

Related Links:

Previous Transition Plan Versions: