MedicaidAdministrativeMedium impact
Revised Statewide Transition Plan for Home and Community-Based Settings
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Nov 9, 2016
We identified it
Jun 20, 2026
Summary
CMS published new federal rules requiring all Medicaid Home and Community-Based Service (HCBS) settings to demonstrate community-based rather than institutional characteristics. Illinois has completed on-site compliance assessments and providers must maintain ongoing compliance with these federal requirements for continued Medicaid HCBS program participation.
Action Required
Immediately: HCBS providers must review the On Site Assessment Tool questions and ensure full compliance with federal community-based setting requirements before next accreditation/licensure visit. Document adherence to new federal rules. Submit comments to HFS.SWTransitionPlan@illinois.gov if needed. Failure to comply will result in exclusion from Medicaid HCBS programs.