California Medicaid Public Notice for Proposed SPA 25-0026–Intermediate Care Facilities For The Developmentally Disabled – Continuous Nursing (ICF/DD-CN): Transition Of Benefit/Setting

On May 12, 2025, the California Department of Health Care Services (DHCS) released this transition of benefit/setting notice regarding continuous nursing for intermediate care facilities for the developmentally disabled. This notice advised about an open 30-day public comment period on a proposed state plan amendment (SPA) to transition a long-term care setting currently covered by a home-and-community-based services (HCBS) waiver to the state Medicaid plan. The transition is intended to help the state comply with federal rules on the types of long-term care settings eligible for HCBS. DHCS seeks to implement the SPA . . .