HCB Settings Stakeholder Activities

The Department of Health Care Services (DHCS) and the California Department of Aging (CDA) convened a series of stakeholder meetings to develop a Community-Based Adult Services (CBAS) Home and Community- Based (HCB) Settings Transition Plan (CBAS Transition Plan), to be incorporated into California’s Statewide Transition Plan (STP). Meetings began in February 2015. Pending final approval of California’s STP by the Centers for Medicare & Medicaid Services (CMS), CDA and DHCS in collaboration with stakeholders are implementing the activities and milestones identified in the CBAS Transition Plan.

Objective

To develop and implement the CBAS Transition Plan to bring CBAS centers into compliance by March 17, 2023 and on an ongoing basis with the federal requirements of the HCB Settings regulations as specified in the CBAS provisions of California’s 1115(a) Demonstration Waiver. These regulations became effective on March 17, 2014. Note: CMS extended the date for compliance with the federal requirements from March 17, 2019 to March 17, 2023.

Additional information about the federal requirements is available at Medicaid.gov.

Participants

Stakeholders include, but are not limited to:

Managed Care Plans
CBAS Providers
Advocates
CBAS Participants and Caregivers
Legislative Staff
State Departments

Key Documents

HCB Settings Transition Plans
- California's Statewide Transition Plan (STP)
- CBAS Draft HCB Settings Transitions Plans
  - Revised Draft CBAS Transition Plan (submitted to the Centers for Medicare & Medicaid Services/CMS on 3/9/23 for final approval)
  - Revised Draft CBAS Transition Plan (posted for public comment 10/14/22 through 11/13/22)
  - Revised Draft CBAS Transition Plan (posted for public comment 6/19/21 through 7/19/21)
  - Revised Draft CBAS Transition Plan (submitted to CMS 1/11/18)
  - Revised Draft CBAS Transition Plan (submitted to CMS 9/1/17)*
  - Revised Draft CBAS HCB Settings Transition Plan (11/23/16)*
  - Revised Draft CBAS HCB Settings Transition Plan (8/29/16-posted 8/29/16 through 9/29/16 for public comment)*
  - Revised CBAS HCB Settings Transition Plan (submitted 8/14/15 to CMS)*
  - Revised Draft CBAS HCB Settings Transition Plan (7/1/15)*
  - Draft CBAS HCB Settings Transition Plan (posted for public comment 5/19/15 through 6/22/15)*
  *Contact the CBAS Bureau to obtain this document. (916) 419-7545 or cbascda@aging.ca.gov
Stakeholder Process
- Outreach and Education
Work Tools
- CMS Exploratory Questions (completed)

Meetings

The following stakeholder meetings took place at CDA in Sacramento in person and via webinars for remote participation.

Date	Time	Subject
February 24, 2015	2 - 5 PM	Kick Off
March 17, 2015	2 - 5 PM	Plan Development
April 23, 2015	2 - 5 PM	Plan Development
May 19, 2015	2 - 5 PM	Draft CBAS HCB Settings Transition Plan
July 8, 2015	2 - 4 PM	Review of revised Draft CBAS HCB Settings Transition Plan for Inclusion in the California Statewide Transition Plan

Workgroups

Date	Time	Subject
July 29, 2015	2 - 4 PM	Kick Off
October 7, 2015	9:30 AM -3:30 PM	Workgroup Meeting #2
December 2, 2015	10:00 AM -4:00 PM	Workgroup Meeting #3
February 10, 2016	10:00 AM -4:00 PM	Workgroup Meeting #4
April 27, 2016	10:00 AM -4:00 PM	Workgroup Meeting #5
June 22, 2016	10:00 AM -4:00 PM	Workgroup Meeting #6

The development of the CBAS Individual Plan of Care (IPC), the standardized CBAS Participation Agreement (a companion document to the CBAS IPC), and the CBAS Quality Assurance and Improvement Strategy (CBAS Quality Strategy) were a result of an extensive stakeholder workgroup process that began in July 2015 and ended in June 2016. Workgroup members included managed care plan representatives, CBAS providers and representatives, and advocates. These documents are posted on the CDA website.