Home and Community-Based Services (HCBS) Enhancement

Older man with CNA

As required by the federal government's Centers for Medicare and Medicaid Services (CMS), Rhode Island is planning to use the federal funds attributable to the increased federal matching funds (or FMAP) to implement a variety of activities, including enhancements to home and community-based services (HCBS), eligibility, infrastructure, and reimbursement methodologies. These funds must be used to enhance, expand, or strengthen Medicaid HCBS.

For more information on the Enhanced HCBS FMAP Funding, please see the CMS Guidance.

The Rhode Island Executive Office of Health and Human Services (EOHHS) sought public comment on the types of activities that could be funded to enhance, expand, or strengthen Medicaid HCBS, as well as ways this funding could be used to address disparities and equity issues in the provision of HCBS. The EOHHS is interested in distributing funding in line with our core values of choice, equity and community engagement.

In order to gather opinions from all interested parties quickly and efficiently, the EOHHS created and issued a survey to collect information that would lead to Rhode Island’s proposal.

Proposal

Rhode Island FY 2025 Q2 HCBS E-FMAP Quarterly Spending Plan.xlsx Excel file, less than 1

RI State FFY25 Q1 Quarterly Spending Plan Narrative.pdf PDF file, less than 1

RI FFY25 Q1 Quarterly Spending Plan Update.xlsx Excel file, less than 1

Rhode Island FY 2024 Q4 HCBS E-FMAP Quarterly Spending Plan.pdf PDF file, less than 1

Rhode Island FY 2024 Q4 HCBS E-FMAP Quarterly Spending Plan.xlsx Excel file, less than 1

RI State FFY24 Q3 Quarterly Spending Plan Narrative.pdf PDF file, less than 1

RI FFY24 Q3 Quarterly Spending Plan Update.xlsx Excel file, less than 1

Rhode Island FY 2024 Q2 HCBS E-FMAP Quarterly Spending Plan 10.18.23.pdf PDF file, less than 1

Rhode Island FY 2024 Q2 HCBS E-FMAP Quarterly Spending Plan - 10.18.23.xlsx Excel file, less than 1

RI State FFY24 Q1 Quarterly Spending Plan Narrative Update PDF file, less than 1

RI FFY24 Q1 Quarterly Spending Plan Update Excel file, less than 1

Rhode Island FY 2023 Q4 HCBS E-FMAP Quarterly Spending Plan Excel file, less than 1

Rhode Island FY 2023 Q4 HCBS E-FMAP Spending Plan Update PDF file, less than 1

RI State Spending Narrative for ARPA HCBS FMAP: Semi-Annual Update – Submitted January 17, 2023 PDF file, less than 1

RI State Spending Plan for ARPA HCBS FMAP: Quarterly Update – Submitted January 17, 2023 Excel file, less than 1

RI State Spending Plan for ARPA HCBS FMAP: Quarterly Update – Submitted October 18, 2022 Excel file, less than 1

RI State Spending Narrative for ARPA HCBS FMAP: Quarterly Update – Submitted July 18, 2022 PDF file, less than 1

RI State Spending Plan for ARPA HCBS FMAP: Quarterly Update – Submitted July 18, 2022 Excel file, less than 1

RI State Spending Narrative for ARPA HCBS FMAP: Quarterly Update – Submitted April 18, 2022 PDF file, less than 1

RI State Spending Plan for ARPA HCBS FMAP: Quarterly Update – Submitted April 18, 2022 Excel file, less than 1

RI State Spending Plan and Spending Narrative for ARPA HCBS FMAP: Quarterly Update – Submitted February 1, 2022 PDF file, less than 1

RI State Spending Plan and Spending Narrative for ARPA HCBS FMAP: Quarterly Update – Submitted October 18, 2021 PDF file, less than 1

RI State Spending Plan and Spending Narrative for ARPA HCBS FMAP: Initial Plan – Submitted July 9, 2021 PDF file, less than 1

CMS Letters and Responses

RI Q1 FY25 Approval.pdf PDF file, less than 1

RI Q3 FY24 Approval Letter PDF file, less than 1

RI Q1 FY24 Approval Letter PDF file, less than 1

CMS Approval Letter – Received April 4, 2023 PDF file, less than 1

CMS Approval Letter – Received November 21, 2022 PDF file, less than 1

CMS Approval Letter – Received May 16, 2022 PDF file, less than 1

CMS Approval Letter - Received May 3, 2022 PDF file, less than 1

CMS Partial Approval Letter – Received January 26, 2022 PDF file, less than 1

State’s Response to Questions in CMS Partial Approval Letter Received August 9, 2021 PDF file, less than 1

CMS Partial Approval Letter – Received August 9, 2021 PDF file, less than 1

Additional Materials

Public Comment Summary: ARPA HCBS Enhanced Funding Opportunities – Submitted July 9, 2021 PDF file, less than 1