301(c)(4). 6 of the DDRS Waiver Manual, Provider Agreement Checklist Form, and data from the 90 day check list. : A printed copy of the waiver application and special accommodations (i. You can find out more online or by calling 1-877-GET-HIP9 (1-877-438-4479). Indiana offers eight Medicaid Home- and Community-Based Services programs that target specific groups. Use the HCBS Programs Service Request Form (DHS-6638). State of Indiana Division of Disability and Rehabilitative Services 402 W. **HCBS Incident Submission Guidance Manual** Important. Home and Community-Based. Financial Eligibility • Looks at an individual’s eligibility for KanCare to pay for an individual’s services. HCBS Rate Review Updates. 0210. Waiver redesign update and feedback sessions (08/03/2022) BDDS monthly webinar for providers and case managers (7/19/2022) Provider emergency plan policy (7/18/2022) HCBS Final Rule Non-Residential Transition Plan Implementation follow up (6/21/2022) HCBS Innovation Pilot Projects application period now open (6/17/2022) The State of Indiana requests approval for a Medicaid home and community-based services (HCBS) waiver under the authority of §1915(c) of the Social Security Act (the Act). Manuals. FSSA met with stakeholders on May 31, 2023, and June 1, 2023, to share a rate project update as the state finalizes provider rate increases for the Family Supports Waiver and Community Integration and Habilitation Waivers ahead of the submission to federal partners at the Centers for Medicare and. IHCP to cover additional COVID-19 vaccine and administration codes. Individuals on a waiting list are not eligible for the HCBS waiver group. 1, 2015 Published: Feb. integrated settings. A. Indiana operates this 1915(c) waiver concurrent with a 1915(b) waiver to implement Indiana PathWays for Aging (PathWays), a. DARMHA/WITS user manual - DMHA certified providers - July 2021. The Indiana Family and Social Services Administration has created a Statewide Transition Plan to assess compliance with the HCBS Settings Final Rule and identify strategies and timelines for coming into compliance with the new rule as it relates to all FSSA HCBS programs. Indiana Health Coverage Program Policy Manual Manual Transmittals #15 2023 SECTION SECTION TITLE CHANGES MADE MONTH 1620. Many HCBS Medicaid waiver providers who provide services on the Family Support Waiver and Community Integration and Habilitation waiver are not practitioners providers as defined in SEA 3 and SEA 284. Resources. Adult Protective Services State Hotline: 800-992-6978; Child Protective Services State Hotline: 800. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. Or call in (audio only) +1 406-318-5487,,232465800#. The amendment includes changes to the waiver services, rates, and policies. in. RP . 0023. The CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings. 00 – 3047. plcm. The Indiana Family and Social Services Administration (FSSA) has extended the deadline for Home- and Community- Based services (HCBS) Provider Readiness Grants to Nov. n/docs/hcbs_manual. All. : MEVS and Supplemental Documentation This information is not part of your provider manual, however, it may be useful information and is placed here for your convenience. Twenty-five other states. MEDICAID WAIVERS ; Sections 3300. 00. Examples of external events are: mechanical; or events that interfere with vital functions. 5K. (HCBS) waiver under the authority of §1915(c) of the Social Security Act (the Act). Instead, the Waiver has a limited number of participant enrollment slots, and when these slots are full, a waitlist for program participation forms. Home. Services Waivers Manual Transmittal Letter HCBS-5 Date 06/01/2022 630. 11 HCBS Re-Determination 4. HCBS Rate Review Updates. (HCBS) Waiver Provider Applications Date: September 14, 2020 The Bureau of Developmental Disabilities Services and the Bureau of Quality ImprovementChanges to Billing Requirements for Children's HCBS, CFTSS, and 29-I OLHRS FAQ - - - October 26, 2023 Children's Services Billing Change Webinar - (PDF) - October 18th and 19th, 2023 Notification of Updated Children's Services Rate Sheets - (Web) - (PDF) - November 14, 2022Medicaid Eligibility Policy Manual. Examples of external events are: mechanical; or events that interfere with vital functions. 22, 2022. Specifically, it establishes requirements for home and community-based settings in. DDRS Home. application. These services are referred to as home and community-based services. 00. 2 Division of Disability and Rehabilitative Services Waiver Manual. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. Below are all services that are approved under Indiana’s Family Supports Waiver as of August 1, 2020: • Adult Day Services • Behavioral Support Services • Case Management • Day Habilitation – (individual and group) • Environmental Modifications (A new service to FS waiver as of 8/1/20 with a $15,000 lifetime cap and $500 per year. Individuals and their families may find additional information courtesy of the Indiana Governor’s Council for People. O. )Over 707,000 people are on HCBS waiver waiting lists nationally in 2017, 2 an increase of eight percent over 2016 (Figure 1 and Appendix Table 1). What is the Settings Rule? • The goal of the rule is to ensure people receiving services through HCBS (Home Community Based Services) programs have theThis handbook is designed to help you and/or your Employer of Record, if it is someone else, understand and manage the services available through the Illinois Department of Human Services/Division of Developmental Disabilities' (DDD) Home-Based Services (HBS) program. In addition, each HCBS Waiver has non-financial eligibility requirements. WASHINGTON STREET, P. gov, with the subject line DDRS Bulletin. Comprehensive survey tool. Home Health Services 2 Library Reference Number: PROMOD00032 Published: Oct. 02 - Feb 01, 2020 (as of Feb 01, 2020) Page 5 of 266 01/22/2020. Email HCPF_HCBSWaivers@state. The Iowa Finance Authority provides temporary rental assistance for members who receive services through Medicaid waivers. Inquiries about the Indiana Refugee Services program can be directed to. 401: Introduction 130 CMR 630. P. New document . gov/fssa (FSSA Home > Aging Services > Aging Home > Medicaid HCBS). Findings revealed HCBS waivers projected serving approximately 565,000 participants per year. non-blind individual is $794 per month, making Medicaid Waiver financial eligibility for the CIH, Family Supports or Aged and Disabled Waiver $2,382 per month and for the Traumatic Brain Injury Waiver $1,191 per month. All. * • Per p. All, Behavioral Health, Hospital, Psych Residential Treatment Facility. 1. The policy of HCBS Provider is to ensureReceipt of HCBS To be eligible for the HCBS waiver group, an individual must be able to receive HCBS under an approved 1915(c) waiver. The CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings. States can operate as many HCBS Waivers as they want — currently, about 257 HCBS Waiver programs are active. For a single applicant in 2023, the asset limit for the HCBS Waiver in Indiana is $2,000, which means they must have $2,000 or less in countable assets. 7 million per state per year. Washington St. individuals who are dually eligible for Medicaid and. changes to the HCBS waiver review process. The program permits a state to furnish an array of home and community. The latest amendment to the OPWDD 1915 (c) Comprehensive Home and Community-Based Services (HCBS) Waiver was approved by the Centers for Medicare and Medicaid Services (CMS) effective October 1, 2023. On December 31, 2014, DDS submitted an HCBS Waiver application to CMS seeking federal funding for the Self-Determination Program (SDP). Over three-quarters of HCBS waivers apply the federal SSI asset limit of $2,000 for an individual, and almost all waivers use the same asset limit as is required for institutional care. The HCBS Waivers fund services that prevent or delay living in a long. Is every state making the same changes to their HCBS waiver programs? The new HCBS settings rule is a federal rule and every state that receives federal Medicaid funding to are seeking Medicaid coverage prior to having a waiver. gov/fssa/da. The manual provides instruction to case managers, other service providers, state staff, family members, advocates, and Waiver participants and is available to assist all those who administer, manage, and participate in Indiana’s HCBS Waiver programs. & Inst. iv Library Reference Number: PRPR10014 Published: December 8, 2020 Policies and procedures as of July 16, 2020 Version: 8. Contents. rates for a period of time and allows Indiana a runway to transition to a new fee schedule that will meet federal regulations. What HCBS Waivers are affected by the end of the PHE and limited flexibilities for paid parents of minor, dependent children? FSSA operates four 1915(c) HCBS Waivers. 01 - Jul 01, 2019 (as of Jul 01, 2019) Page 6 of 402 06/17/2019 The Community Pathways Waiver is designed to provide support services to individuals and their families, to enableHCBS flexibilities for Habilitation to continue six months post-PHE to align with the HCBS waiver flexibility unwind. Authorization of Services Services provided under an HCBS program or MFP demonstration grant must be authorized as described in HCBS Waivers Manual (PDF, 610 KB) New Waiver Services. INDIANA HEALTH COVERAGE PROGRAMS BT202275 SEPTEMBER 15, 2022 Page 1 of 5 IHCP announces new provider readiness training schedule for HCBS Long-Term Services and Supports Providers As announced in Indiana Health Coverage Programs (IHCP) Bulletin BT202220, the Indiana Family and Social Services Administration Statewide Transition Plan. 1, 2016%PDF-1. Authorization of Services Services provided under an HCBS program or MFP demonstration grant must be authorized as described inTo address specific health challenges of refugees, Indiana Refugee Services also provides guidance, resources and oversight for initial medical screen-ings and mental health consultation. Within 15 calendar days . IHCP updates. Instructions for completing the Waiver/Rehab and CMS 1500 claim form are located in Claims. FSSA met with stakeholders on May 31, 2023, and June 1, 2023, to share a rate project update as the state finalizes provider rate increases for the Family Supports Waiver and Community Integration and Habilitation Waivers ahead of the submission to federal partners at the Centers for Medicare and Medicaid Services. State of Indiana requests approval for a Medicaid home and community-based services (HCBS) waiver under the authority of §1915(c) of the Social Security Act (the Act). According to NCI data that Indiana was able to utilize, the State demonstrated non-compliance with several HCBS requirements. 12 Aquatic Activity Screening 4. EN. Policies and procedures as of Sept. This new rule is referred to as the settings rule. 1, 2023 Version: 7. DDRS HCBS Waivers Revision History . A variety of health and human services can be provided. The Aged and Disabled (A&D) Waiver provides services to Medicaid-eligible persons age 65 and older and persons of all ages who have a substantial disability who would. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. Florida Medicaid . 8 Most. The Division of Aging (DA) offers two HCBS waiver programs: • Aged andDisabled (A&D) Waiver • Traumatic Brain Injury (TBI) Waiver Information about these two waivers is. See HCBS waiver provider manual, section 8 X X 3. Appendix A specifies the administrative and operational structure of thisIndiana Health Coverage Programs Telehealth and Virtual Services Published: August 29, 2023 2. HCBS Waiver Review Protocol Version 6. BOX 7083 INDIANAPOLIS, IN 46207-7083 1-800-545-7763 HCBS Waiver Transition FAQ for Providers 9/30/22 What is going to change with the Aged and Disabled and Traumatic Brain Injury waiversHEALTHY INDIANA PLAN ; Sections 3500. • If an individual is approved for a HCBS Waiver, KanCare looks only at the income and assets of the person who will receive services. • The State Medicaid Manual, section 4442. O. Requested Approval Period: (For new waivers requesting five year approval periods, the waiver must serve. Under section 1332(b) of the ACA, the Secretary of HHS and the Secretary of the Treasury (collectively, the Secretaries) may exercise their discretion to approve a. Hcbs Waiver Program Provider Manual Indiana - collection. gov. 2. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023 Policies and procedures as of June 1, 2023 Version: 10. BOX 7083 INDIANAPOLIS, IN 46207-7083 1-800-545-7763 HCBS Waiver Transition FAQ for Individuals and Families 9/30/22 What is going to change for my waiver services right now?Read to the group: Indiana currently has two Medicaid HCBS waivers for serving individuals with IDD – the Family Supports Waiver (FSW) and the Community Integration and Habilitation Waiver (CIH). FSSA is pleased to share a rateCMS pays for about 2/3 of the cost of HCBS provided in these waiver programs. This waiver will offer the following supports for waiver participants: Behavioral. Two are impacted and will discontinue temporary allowances for parents and legal guardians to be paid for care and support provided to a minor dependent. guidelines, policies and/or manuals, including policies, written agreements and the HCBS Waivers Provider Reference Module on the IHCP Provider Reference Materials webpage; o Ensure case managers meet with waiver individuals on a regular basis or as requested by the individual to develop, update, and support the execution of person-centered The Aged and Disabled waiver is a program that provides home and community-based services to eligible individuals who need nursing facility level of care. gov and check back for additional. 00. The project team has identified two different options, or paths, for organizing the waivers as part of redesign which are presented below. Application for 1915(c) HCBS Waiver: CA. This pdf document provides an overview of the Home and Community-Based Services (HCBS) Waivers offered by the Division of Disability and Rehabilitative Services (DDRS) in Indiana. Monthly newsletter. 6767) eric. service provider qualifications for the relevant service in the waiver document or the Waiver Provider Manual. Appendix A specifies the administrative and operational structure of this waiver. BT202218. The IHCP encourages providers to reference all resources to ensure claims are. About. Waiver or an intermediate care facility for individuals with intellectual disabilitiesSurvey Tools and Process As part of the transition process, the Department must determine whether settings under these waiver programs have "home and community-based" characteristics. Before submitting an Indiana Health Coverage Programs (IHCP) enrollment application, waiver providers must have Family and Social Services Administration (FSSA) certification. Waiver. 00 . Indiana 211 Indiana 211State of Indiana Division of Disability and Rehabilitative Services 402 W. The Indiana Family and Social Services Administration has created a Statewide Transition Plan to assess compliance with the HCBS Settings Final Rule and identify strategies and timelines for coming into compliance with the new rule as it relates to all FSSA HCBS programs. grant@alaska. Type of Request: amendment The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. 8) 9/2014; State Plan Amendment 10/1/20; 1915(b)(4) Waiver Fee-for-Service. Through this program, the state of Kansas is able to provide different services that allow those who need care to receive services in their homes or communities. This pdf document contains detailed information about the waiver, such as eligibility criteria, covered services, provider qualifications, and quality assurance. report. Fact Sheets Regarding Final Regulation CMS-2249-F/CMS-2296-F. Phone: 765-288-6516. IHCP reminds providers of Kepro transition and announces additional Atrezzo Provider Portal benefits; IHCP removing unit limit from psychiatric procedure codes 90785 and 90840 and clarifies use of 90785. Policies and procedures as of July 1, 2019 The Division of Aging (DA) offers two HCBS waiver programs: • Aged andDisabled (A&D) Waiver • Traumatic Brain Injury (TBI) Waiver Information about these two waivers is available on the . 5. P. Instead, the Waiver has a limited number of participant enrollment slots, and when these slots are full, a waitlist for program participation forms. Form, Part 4. 06 - Jan 01, 2022 (as of Jan 01, 2022) Page 3 of 351 12/15/2021 Component(s) of the Approved Waiver Affected by the Amendment. Mori Created Date: 4/23/2020 7:59:25 AMguidelines, policies and/or manuals, including policies, written agreements and the HCBS Waivers Provider Reference Module on the IHCP Provider Reference Materials webpage; o Ensure case managers meet with waiver individuals on a regular basis or as requested by the individual to develop, update, and support the execution of person-centeredIHCP Medicaid, 1915(c) HCBS waiver and 1915(i) HCBS benefit plan and service combinations. To provide further information a webinar explaining the deadlines was held on September 28, 2017. 7: Indiana Money. The requirements for State Burial Assistance under the Medicaid program are also included. through an Indiana Medicaid HCBS waiver program operated by the DDRS. or transport through use of manual restraint; Braces, helmets, splints for behavior control. The AD Waiver is a home- and community-based services program for individuals who are aged or disabled and need long-term care. Application for 1915(c) HCBS Waiver: MD. State of Indiana Division of Disability and Rehabilitative Services 402 W. Mori Created Date: 4/23/2020 7:59:25 AM guidelines, policies and/or manuals, including policies, written agreements and the HCBS Waivers Provider Reference Module on the IHCP Provider Reference Materials webpage; o Ensure case managers meet with waiver individuals on a regular basis or as requested by the individual to develop, update, and support the execution of person-centered as of Oct. WITS user manual recovery residences ONLY - INARR certified levels 2 & 3 only - October 2019. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. 00. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. Indiana Health Coverage Programs Rate Increases – Home- and Community-Based Services Waiver. iv Library Reference Number: PRPR10014 Published: December 8, 2020 Policies and procedures as of July 16, 2020 Version: 8. 00 – 3380. 00. Modules include instructions for submitting IHCP claims and prior authorization (PA) requests, as well as other related. Adaptive Aids/ETC-Initial X3013 Manual Annual max of units listed on POC Adaptive Aids/ETC - Maintenance X3014 Manual Annual max of units listed on POC. HIP is for individuals aged 19 to 64. Manual review . YES. Accessibility Settings. 018. BT202217. , Suite 130. MCE Reporting Manual. 0 Version Date Reason for Revisions Completed By 7. , interpreter, large print or taped materials) can be arranged if requested by contacting the DDD Community Resources Branch at (808) 733-2135 no later than seven (7) working days before the comment period ends. The Indiana Health Coverage Program Policy Manual is an integrated eligibility manual that contains information about health coverage under Medicaid, Hoosier Healthwise, Hoosier Care Connect, and the Healthy Indiana Plan. An Introduction to Indiana's Medicaid Waiver Program. R07. 1, 2024, however, Indiana must transition to a reimbursement model with consistent rates across all its programs. Additional requirements apply, based on the specific waiver program. 1130 (voice), 914-259-8036 (VP). BT202219. Providers wanting to add a temporary service will email a request to [email protected] and Disabled Waiver ; Traumatic Brain Injury Waiver ; Division of Disability and Rehabilitative Services. " Through MI Choice, eligible adults who meet income and asset criteria can. You will be notified by letter when the process is complete and your waiver billing number is assigned. oMeasure SP C. Resource guide. AMHH services are also available for eligible adults with both. The waivers are programs of. Appendix B specifies the target group(s) of individuals who are served in this waiver,Official Program Name IL HCBS Waiver for Children that are Medically Fragile, Technology Dependent (0278. Is not already receiving Medicaid benefits. BQIS / Liberty of Indiana Corporation developed this guide, with input from IN-ABC and HABA in response to the. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. Home- and Community-Based Services (HCBS) are types of person-centered care delivered in the home and community. A person-centered treatment plan is built upon the member and family's strengths to identify the following: The unique. R04. Severe Disabling Mental Illness. Reimbursement: an evaluation of rates and rate methodology. All. Structured Family Caregiving Waiver Rights and Responsibilities . 00 – 3565. The HCBA Waiver is the payer of last resort except where otherwise specified by law. Before submitting an Indiana Health Coverage Programs (IHCP) enrollment application, waiver providers must have Family and Social Services Administration (FSSA) certification. Please note that providers that were awarded the. A federal government managed website by the Centers for Medicare & Medicaid Services. 3305. IHCP updates. 00), there are certain categories of Medicaid a person must be eligible for in order to receive a Home and Community-Based Services Waiver. Chapter 3300 . Mary G. Home and community based services provide opportunities for Medicaid beneficiaries to receive services in their own home or. Home and community-based services are also known as waiver-funded services or waiver programs. Medicaid Rules and Regulations. Community Based Services Waiver Manual Date effective: July 1, 2020 . 8) 9/2014; State Plan Amendment 10/1/20; 1915(b)(4) Waiver Fee-for-Service Selective Contracting Program 10/1/18 Below are all services that are approved under Indiana’s Family Supports Waiver as of August 1, 2020: • Adult Day Services • Behavioral Support Services • Case Management • Day Habilitation – (individual and group) • Environmental Modifications (A new service to FS waiver as of 8/1/20 with a $15,000 lifetime cap and $500 per year. 000 COMMUNITY AND EMPLOYMENT SUPPORTS WAIVER GENERAL INFORMATION 201. Individuals and their families may find additional information courtesy of the Indiana DDRS HCBS waivers provider reference module (September 2022) Webinars. IHCP announces spring/summer HCBS business acumen training schedule. Recently, CMS has employed a more rigorous process during its review of waiver applications and programs to assure that states are in compliance with CMS guidance that, “Rate setting methodology must be reviewed, and. Application for 1915(c) HCBS Waiver: Draft IN. Waiver Redesign . IN. Send potential provider BDDS HCBS . 00 - Jan 01, 2023 Page 4 of 178 02/16/2023• Medicaid home- and community-based services (HCBS) are designed to allow people with long-term services and supports (LTSS) needs to live in their homes or a homelike setting in the community. BPHC provider module 7/28/2022; BPHC Rule (AC Article 5-21. Home and community-based services (HCBS) through the. Indiana Health Coverage Program Policy Manual . Title: IN HCBS Rate Build-up - Proposed - Public Notice - Final. A person is an HCBS recipient if he or she has been assessed, found in need of long. The guide also includes links to IHCP companion guides and other useful. B. [DDRS] State of Indiana Summer 2016 . Providers must determine which HCBS program services they want and are qualified to provide. Healthy Indiana Plan MCE Policies and Procedures Manual. DDRS will rely on case managers and waiver providers as front-line contacts for addressing concerns of waiver participants (and family members). Download the pdf to learn more about how. Sent policy, information, and . Process for adding temporary services/counties during COVID-19 public health emergency. Section 1915(c) of the Social Security Act authorizes the Secretary of Health and Human Services to waive certain. 00. It is the authorized reference document for Indiana Medicaid HCBS Waiver service. Manuals: Nuon . HCBS Waiver Nurse Provider – RN and LVN (Individual Nurse Provider) INP Medi-Cal Checklist. 00 - Jan 31, 2024 Page 3 of 332 09/01/2023. Agency for Health Care Administration September 2021 . Skip Navigation Heading, go to main content Top of Page. For this HCBS waiver, you have requested a waiver of 1902(a)(10)(B) of the Social Security Act in order to waive comparability of services. Requires assistance with at least three activities of daily living. U7 . Indiana is working to give more people over age 60 on Medicaid this choice by making long-term services and supports more effective and better coordinated. The Medicaid Waivers make use of federal Medicaid funds, plus state matching funds, for HCBS, as an alternative to institutional care, under the condition that the overall cost of supportingIn 2014 CMS issued new rules about the HCBS waiver services and supports that states must follow to continue to provide HCBS waivers to people with disabilities. Notify potential provider of denial. The Department of Developmental Services (DDS) created this handbook to introduce you to the Home and Community-Based Services (HCBS) waivers. 2 See Appendix A - HCBS Solutions presentation dated July 23, 2018 for additional information. All. 1915 (c): Changes to HCBS Waiver Program. BOX 7083 INDIANAPOLIS, IN 46207-7083 1-800-545-7763 DDRS Home and Community-Based Service Waiver Rate Methodology Project Update You are invited to a DDRS HCBS Waiver Rate Methodology update. 8 times per year; whereas, a person with 5 of the HCBS Settings Rule outcomes present (out of 11) is expected to visit the emergency room an average of 0. For the purpose of the Medicaid program and as used in this Manual, HCBS Waiver services are defined as follows: Adaptive Technologies . Appendix A. Physician. Holcomb. Medicaid . in. Procedure Code Description Allowable as Audio-Only (Modifier 93) 59425 Antepartum care only; 4-6 visits YesFSSA met with stakeholders on May 31, 2023, and June 1, 2023, to share a rate project update as the state finalizes provider rate increases for the Family Supports Waiver and Community Integration and Habilitation Waivers ahead of the submission to federal partners at the Centers for Medicare and Medicaid Services. 3. 1686. 1. Personnel Policies and Manuals Rule 16. An official website of the Indiana State Government. Manual FSSA and Gainwell . Notify potential provider of denial. Indiana Medicaid pays for services for individuals who choose to remain in their home as an alternative to receiving services in an institution, such as a nursing facility. For Traditional Medicaid Members: Use our provider search to determine whether your current provider participates in the Medicaid program. ASSESSMENT OF HCBS REQUIREMENTS: REVIEW OF INDIANA’s STANDRADS, RULES, REGULATIONS, and REQUIREMENTS Start Date: 9/2014 End Date: 10/2014-Completed. IHCP Model Enrollee. 7 %âãÏÓ 20742 0 obj > endobj 20754 0 obj >/Filter/FlateDecode/ID[460BC07F6BCB1D4F86A8230B9789D7A5>]/Index[20742 22]/Info 20741 0 R/Length 71/Prev 2489480. It is the authorized reference document for Indiana Medicaid HCBS Waiver service. (IAC) regulations and current Indiana waiver policies regarding incident reporting. •Indiana has about 2% of the U. These services are provided to youth, ages 6-17, who have a diagnosis of a serious emotional disturbance. 8 times per year. A. indiana@fssa. collection. 1, 2024. Applicants must have qualifying scores on standard assessments and be at risk for inpatient. O. APPLICANT INFORMATION: Identify the partnership, corporation, or governmental agency applying to lawfully establish, conduct, and provide service. Eligibility criteria includes: Age 65 or older. The information in this module applies to Indiana Health Coverage Programs (IHCP) services provided under the fee-for-service. These services are provided to youth, ages 6-17, who have a diagnosis of a serious emotional disturbance. e. 11-16-2023 IHCP will host webinar to discuss provider notices published during October. 00. Ombudsman. The State of Indiana requests approval for an amendment to the following Medicaid home and community-based services waiver approved under authority of §1915(c) of the Social Security Act. The Division of Disability and Rehabilitative Services manages the delivery of services to children and adults with intellectual and developmental disabilities. The Center for Medicaid and CHIP Services (CMCS) is pleased to share with State Medicaid Agencies, Operating Agencies, and other stakeholders a Home and Community Based Settings Toolkit to assist states develop Home and Community-Based 1915(c) waiver and 1915(i) SPA amendment or renewal application(s) to comply with. 21, 2022. • ***NOTE: Individuals who have Medicaid do not need to be enrolled in the HCBS Waiver in order to receive OPWDD services, however OPWDD does need to determine them "eligible" for OPWDD services. R06. BT200371 Documentation Standards for HCBS Waiver Programs IHCP Provider Manual The Audit Findings Letter, as noted, will be issued to the provider within 45 days of the exitIHCP announces spring/summer HCBS business acumen training schedule. , Room W454, MS 21. Are certified by the state to qualify for nursing home level of care. Name: * Address: * City: * State:Indiana applies for permission to offer Medicaid Waivers from the Centers for Medicare and Medicaid Services. YES. 00 Appendix 3 Form and Instructions. 1 renumbered “5. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. 0 Version Date Reason for Revisions Completed By 7. 0210. Live-in Companion. Waiver. Other Resources. of receipt. specifies the administrative and operational structure of this waiver. The four waivers are the Comprehensive Waiver; Missouri Children with Developmental Disabilities Waiver (MOCDD or Lopez Waiver); Community Support Waiver; and Partnership for Hope Waiver (PfH). participants and is available to assist all those who administer, manage, and participate in Indiana’s HCBS Waiver programs. HCBS are designed for children/youth who, if not receiving these services, would require theState of Indiana Division of Disability and Rehabilitative Services 402 W. See the Anthem Provider Operations Manual for a list of HIP benefits and services. Department of Developmental Services Adult ID Waivers: These waivers provide services and supports to adults with intellectual disabilities so. Be eligible for Traditional Medicaid. Coordination, Child Mental Health Wraparound, or any HCBS waiver or MFP plan. Any violations of these rights and freedom jeopardize the setting’s H S status and funding, in addition to the ethical andState of Indiana Division of Disability and Rehabilitative Services 402 W. provided through the HCBS Waiver. The waiver’s purpose is to provide medically necessary services to. 100 Documentation in Beneficiary’s Case Files 202. COVERAGE AND LIMITATIONS HANDBOOK. The revised Program Manual is dedicated to all participants of the past, present and future,Application for 1915(c) HCBS Waiver: Draft CA. 13 Agreement with the Individual Plan 4. Provider FAQsWhat is the HCBS Rule? The Centers for Medicare and Medicaid Services (CMS) published new federal standards for how all home and community-based services. 3, B. Code §§ 14132 (t), 14137. If approved, you will then be directed to download your Indiana Health Coverage Programs Waiver Billing Provider Application and Profile Maintenance packet through HP. One program run by Michigan Medicaid is the MI Choice Waiver Program. 3, 2023 Policies and procedures as of Sept. 05/30/2023. HOME AND COMMUNITY BASED SERVICES . If you would like information from an archived DDRS Bulletin, please send your request to the BQIS Help email at BQIS. – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant members and Package C for children under age 19. 2 Periodic Review of the Plan IP. Once all documentation and forms are received by the Division of Aging, the Waiver Provider Analyst will review your Provider Application packet. specific areas in which Indiana showed noncompliance with HCBS requirements. This information is accurate as of July 1, 2023 for State Fiscal Year 2023-24. instructions Review letter of intent and references. R04. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. To be eligible for any HCBS program, you must meet Medicaid guidelines and HCBS program-specific eligibility guidelines.