Home and Community Based Settings (HCBS) Rules

The purpose of the HCBS Rules is to ensure individuals receiving HCBS are integrated into their communities and have full access to the benefits of community living.

These new requirements, from the Centers for Medicare and Medicaid Services (CMS), impact individuals receiving services in residential and non-residential settings such as assisted living facilities, group homes, adult day health, day treatment and training, center-based employment programs, etc.

All service settings must come into compliance by March 2022.

For more information on the HCBS Rules and the requirements for State Medicaid programs, please visit the CMS Website.

After a public comment period, AHCCCS submitted Arizona’s Systemic Assessment and Transition Plan to CMS in October 2015. The systemic assessment conducted by AHCCCS summarized Arizona’s current level of compliance for HCBS settings and was approved by CMS in September 2017.

The Transition Plan outlines strategies the State will use to make sure all HCBS settings come into compliance by March 2022. AHCCCS engaged in multiple meetings and/or correspondence with CMS, pertaining to the Transition Plan, for the period of September 2017 – February 2019. The updated Transition Plan posted below contains revisions to the Transition Plan made in response to CMS feedback during that period. In February 2019, CMS confirmed the current revisions to the Transition Plan to-date are satisfactory. CMS will not officially approve Arizona’s Systemic Assessment and Transition Plan until after the first round of site specific assessments have been completed, a public comment period is held and the State’s reports to CMS are satisfactory.

The updated Transition Plan is posted for a public comment period through May 31, 2019. Public comments will be utilized to help inform the implementation of the Transition Plan.

Click on the “Public Comment” tab below for information on how and where to submit comments.

AHCCCS is holding stakeholder forums, statewide, to provide information on updates made to the Transition Plan and solicit public comment that will be used to help inform the implementation of the Transition Plan.

The following resources are provided to support individuals to participate in the stakeholder forums and/or submit public comment.

To submit comments to AHCCCS regarding the State’s compliance with the HCBS Rules or request copies of the documents linked on the website in hard copy or alternative format:

E-mail: HCBS@azahcccs.gov
Phone: 1-888-833-4002, Ext. 6024174733
Mail: AHCCCS c/o HCBS Rules - Division of Health Care Management
701 E. Jefferson Street, Mail Drop 6500, Phoenix, AZ 85034

AHCCCS has created a Constant Contact email notification list to communicate updates on recent developments for the HCBS Rules. AHCCCS encourages anyone (members, families, advocates, service providers, etc.) interested in this initiative, such as opportunities for public comment, to sign up to receive communication. To subscribe, click on the sign up button below: