Notice of Intent to Renew and Amend the Mental Health Home and Community-Based Services Waiver

In accordance with the provisions of section 17b-8(c) of the Connecticut General Statutes, notice is hereby given that the Commissioner of Social Services intends to submit a renewal of the Mental Health home and community-based services waiver to the Centers for Medicare & Medicaid Services ("CMS") to be effective April 1, 2027.

The above-referenced waiver is operated by the Department of Mental Health and Addiction Services (DMHAS).

The Department of Social Services (DSS) and DMHAS are proposing the following changes upon renewal:

• Appendix C:1 Addition of a 5th level of care under Assisted Living services to align with the service array of this level of care in the Connecticut Home Care Program for Elders.
• Technical updates, including:
  • Appendix C:1.d was completed to answer questions about how telehealth services are provided.
  • Appendix C:2.g was completed to demonstrate the provision of Transitional Case Management services in acute care hospitals.
  • Appendix C:5 Home and Community-Based Setting was completed.
  • Per CMS guidance, a performance measure was added to the sub-assurance under Appendix B: Quality Improvement, subsection (a)(i)(b).
  • Per CMS guidance, updates were made to the performance measures under Appendix A: Quality Improvement under subsection (a)(i) and sub-assurances in Appendix B: Quality Improvement under subsections (a)(i)(a) and (a)(i)(c).

A copy of the complete text of the waiver is available, at no cost, upon request to: Katie Daly, Director Long Term Services and Supports, Mental Health Waiver Program, Department of Mental Health and Addition Services, PO Box 351, Middletown, Connecticut, 06457; or via email at [email protected]. In addition, it is available on DMHAS' website, under "What's New!" as well as the Mental Health Waiver's. The documents may also be obtained at any DSS field office, or at the Town of Vernon Social Services Department.

All written comments regarding this renewal application must be submitted by December 3, 2026 to: Katie Daly, Director Long Term Services and Supports, Mental Health Waiver Program, Department of Mental Health and Addition Services, PO Box 351, Middletown, Connecticut, 06457; or via email to [email protected].

For a copy of the Notice of Intent, please follow this link

For a copy of the full waiver application for renewal of the Mental Health Waiver, please follow this link