Program for All-Inclusive Care to the Elderly (PACE) The Program of All-Inclusive Care to the Elderly (PACE) was implemented by the state of Indiana to provide quality community-based care for Indiana Health Coverage Programs (IHCP) members who: Are 55 years old or older. Indiana applies for permission to offer Medicaid Waivers from the Centers for Medicare and Medicaid Services. We would like to show you a description here but the site won’t allow us. 1, 2024, however, Indiana must transition to a reimbursement model with consistent rates across all its programs. Or call in (audio only) +1 406-318-5487,,232465800#. 3. 323 of the 1915(c) technical guidance, PCS are defined as:. Medicaid . The categories are the following: MED 1 Categories. Nationally, 56% of total Medicaid LTSS dollars are spent on HCBS as opposed to institutional care, with substantial variation among states, ranging from 30% to 83% (Appendix Table 13). See HCBS waiver provider manual, section 8 X X 3. Home and Community-Based. 100 Providers of CES Waiver Services in Arkansas and Bordering States Trade Area Cities 202. , 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. 7500 Security Boulevard Baltimore, MD 21244. This pdf document contains detailed information about the waiver, such as eligibility criteria, covered services, provider qualifications, and quality assurance. 1. Process for adding temporary services/counties during COVID-19 public health emergency. In 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. Providers must determine which HCBS program services they want and are qualified to provide. Individuals and their families may find additional information courtesy of the Indiana DDRS HCBS waivers provider reference module (September 2022) Webinars. Indiana Professional Licensing agency (455 IAC 2-6-3(2)(C)) X x x X X X X X X X X . utilizing Waiver services to develop a care plan that will safely meet their medical care needs outside of an institution; and 3) maintain overall cost neutrality of HCBS when compared to services that would be provided to the same population in an institution. Policies and procedures as of Sept. BDDS is committed to ensuring Medicaid Waivers assist individuals in achieving their vision of a good life. Indiana’s initial STP was submitted to CMS. 03/01/2022. 1, 2023 Version: 7. HCBS Waiver Provider Manual Address any comments concerning the contents of this manual to: HP Provider Relations Unit 950 North Mer idian Street, Suite 1150. Older Americans Act/ Family Caregiver Support. You can find information about changes made in this amendment below:Indiana’s HCBS Statewide Transition Plan (STP) Indiana FSSA/DMHA Adult 1915(i) AMHH/BPHC State Evaluation Team February 17, 2016 . provider application. Be eligible for Traditional Medicaid. An official website of the Indiana State Government. These benefits can help you remain in your home and community. 00. Table 1 – Amended rates for A&D Waiver and MFP-A&D assisted living services effective for DOS on or after June 30, 2017 For more details, see the A&D Waiver amendment application on the FSSA website at in. IHCP announces spring/summer HCBS business acumen training schedule. 04. Purpose: The. Ombudsman. All DMHA certified CA-PRTF Demonstration Grant service providers (as of September 30, 2012) automatically became a MFP-PRTF service provider (on October 1, 2012), without any additional documentation. EN. Home- and Community-Based Services (HCBS) are types of person-centered care delivered in the home and community. Application for 1915(c) HCBS Waiver: CA. Washington St. The proposed waiver amendments can be viewed below. in. 03 - Jul 01, 2023 Page 3 of 347 1. Box 7263Revised 200905 - 4 - Additional Waiver Resources In addition to this booklet there are several sources of information about Indiana’s Medicaid Waiver program that may be useful for people with disabilities and families: The Waiver Provider Manual for Home and Community-Based Services is a primary reference document for Home and Community. 3310. 00 Appendix 2e 4. IHCP announces spring/summer HCBS business acumen training schedule. Application for a §1915(c) Home and Community-Based Waiver Instructions, Technical Guide and Review Criteria. Phone Conference ID: 232 465 800#. Learn how to access the AD Waiver and improve your quality of life. integrated settings. 0210. 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. 000 Overview 201. Level of Care (LOC) Level-of-care (LOC) requirements for the A&D and TBI waivers are as follows:Centers for Medicare & Medicaid Services. R04. 8 Most. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. INDIANA HEALTH COVERAGE PROGRAMS BT201624 MAY 5, 2016 Page 1 of 8. 9, within the scope of practice of a LCSW. please email backhome. March 1, 2023 2640. • Indiana must follow the to continue to provide HCBS waivers. Providers wanting to add a temporary service will email a request to [email protected]. Washington St. This revised Program Manual reflects these changes and provides further clarification of definitions and scope of the HCBS/TBI waiver services. Language Translation. Services include: Adult day care. N/A : Defaults to FFS : Can opt into Hoosier Care Connect : Full : Exe mpt Cha pter 160 0 (Fin al Dra ft). In accordance with the public notice requirements of 42 CFR 441. A printed copy of the waiver application and special accommodations (i. instructions Review letter of intent and references. Box 7263Indiana Health Coverage Programs DXC Technology Fee-for-Service Home-and Community-Based Waiver Services Annual Provider Seminar ‒ October 2019. Indiana Family to Family also has fact sheets available on these programs. Instead, the Waiver has a limited number of participant enrollment slots, and when these slots are full, a waitlist for program participation forms. IHCP to cover additional COVID-19 vaccine and administration codes. Indianapolis, IN 46027. 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. 02 - Feb 01, 2020 (as of Feb 01, 2020) Page 5 of 266 01/22/2020. FSSA and HPE : 1. Indiana’s CIH waiver serves approximately 20,000 participants throughout the 92 counties. Figure 7 of this manual provides a breakdown of each 1915(c) HCBS waiver and the responsible regulating agency. 6767) eric. more information on virtual services allowed for HCBS waiver providers under Appendix K authority, see IHCP Bulletin BT202188. integrated settings. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and. Additional requirements apply, based on the specific waiver program. 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. : A printed copy of the waiver application and special accommodations (i. 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. Program Title (optional - this title will be used to locate this waiver in the finder): Aged & Disabled Waiver B. gov, with the subject line DDRS Bulletin. Eligibility for HCBS Waiver Services . BPHC and HCBS comprehensive training 3/8/21; Critical incident. BR202322. • Transportation services provided by school corporations • Transportation for Medical. 7: Indiana Money Follows the Person (MFP) DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. The program permits a state to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in the community and avoid institutionalization. manual which will clearly define the rights and responsibilities of individuals and families relative to managing Medicaid funds and detail budget authority and employment authority. One program run by Michigan Medicaid is the MI Choice Waiver Program. Of these, 218 waivers reported providing one or more PCS. 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. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. The waiver has been approved for a five-year period with an effective date of January 1, 2023 . Indiana Health Coverage Programs to only provide telehealth services by defined practitioners. Indiana Family & Social Services Administration 402 W. Waiver Redesign . (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. About. Medicaid financial eligibility for individuals receiving waiver services is based on 300% of the Supplemental Security Income (SSI) maximum. utilizing Waiver services to develop a care plan that will safely meet their medical care needs outside of an institution; and 3) maintain overall cost neutrality of HCBS when. IHCP Model Enrollee. - 12 Jul. You can find out more online or by calling 1-877-GET-HIP9 (1-877-438-4479). 00 Appendix 2g: In-Home Services Worksheet Form/Instructions HCBS-3a 4. service provider qualifications for the relevant service in the waiver document or the Waiver Provider Manual. 00. Manuals for managed care entity (MCE) operations and reporting are provided at the links below: Hoosier Healthwise MCE Policies and Procedures Manua l. See More. Library Reference Number: PROMOD00039 v Published: Feb. 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. , beneficiaries diagnosed. Approval of 2023 Waiver Amendment. The information in this module applies to Indiana Health Coverage Programs (IHCP) services provided under the fee-for-service. This instructional guide applies to the following 1915(c) HCBS waivers: • Acquired Brain Injury (ABI) • Acquired Brain Injury Long Term Care (ABI-LTC). 018. HCBS Waiver. FSSA and HPE : 1. Potential provider enrolls with Indiana . of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. This resource describes the required steps for providers. , 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. Announced on Jan. All, Behavioral Health, Hospital, Psych Residential Treatment Facility. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. The following steps outline the basic enrollment process for this provider type. In the settings rule CMS clarified expectations about person-centered planning and the things that need to happen when HCBS waivers800-545-7763 Bureau of Developmental Disabilities Services (BDDS) 800-545-7763 Statewide Waiver Ombudsman . BR202322. 2. gov. ASSESSMENT OF HCBS REQUIREMENTS: REVIEW OF INDIANA’s STANDRADS, RULES, REGULATIONS, and REQUIREMENTS Start Date: 9/2014 End Date: 10/2014-Completed. Persons with Brain Injury waiver. )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). Personal emergency response system. What is the HCBS settings rule? In January 2014, the federal Centers for Medicare and Medicaid Services (CMS) issued a new federal rule (CMS-2249-F/CMS-2296-F). The project team has identified two different options, or paths, for organizing the waivers as part of redesign which are presented below. The six-month period between May 11, 2023, and November 11, 2023, will allow adequate time for the unwinding of these flexibilities and a return to normal operating procedures. IHCP to cover additional COVID-19 vaccine and administration codes. 00 . Additional requirements apply, based on the specific waiver program. Policies and procedures as of Sept. BDDS HCBS provider . 12-12-2023 Kepro will host Atrezzo Provider Portal training Dec. 40166. Maintenance of Records of Services Provided Rule 17. Check these resources for more information on funding for HCBS:One program run by Michigan Medicaid is the MI Choice Waiver Program. For a waiver claim to be processed for reimbursement all of the following must occur: • The recipient must be approved for home and community-based services (HCBS) [email protected] September 2022, FSSA announced two HCBS waivers, the Traumatic Brain Injury waiver and the Aged & Disabled) waiver (for individuals ages 59 and under), will transition oversight from the Division of Aging to the Division of Disabilities and Rehabilitative Services. Medicaid Rules and Regulations. 5 and 4. All are 1915 (c) HCBS waivers, and all waive parent income and are open to children of all incomes. Application for 1915(c) HCBS Waiver: FL. Application for a §1915(c) Home and Community-Based Services Waiver 1. What are Home- and Community-Based Medicaid Waivers? BDDS offers two home- and community-based Medicaid waivers, known as the Community. Lower Hudson Valley - 845-228-7457 ext. (HCBS) waivers are authorized under section 1915(c) of the Social Security Act and governed by Title 42, Code of. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. 1915 (c): Changes to HCBS Waiver Program. DA Home- and Community-Based Services Waivers. We now know it as the MI Choice Waiver Program, or simply, "the waiver. This pdf document contains detailed information about the waiver, such as eligibility criteria, covered services, provider qualifications, and quality assurance. U7=Waiver; RP=Replacement . Please note that providers that were awarded the. In Indiana, the HCBS Waiver is called the Aged and Disabled (A&D) Waiver. 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. Toll-Free: 877-218-3531 (V/VRS/711)The State of Indiana requests approval for an amendment to the following Medicaid home and community-based services. 8 times per year. R00. 3310. HCBS waivers, such as general application procedures, client participation, reviews, and payment information. collection. 1 renumbered “5. 1506. Medicaid Billing Reminders for Home and Community Based Services (HCBS) Waiver Providers Posted March 29, 2021 (Updated April 21, 2021*) *Please note: The content below regarding Illinois Medicaid HCBS Billing Waiver – Electronic Claim Submission has been updated to include an important note regarding Atypical provider registration. Indiana Health Coverage Programs Waiver Claims Information BT200021 June 30, 2000 EDS 2 P. Helpful hints are also included). 00. , Suite 130. Waiver Administration and Operation. – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant members and Package C for children under age 19. rates for a period of time and allows Indiana a runway to transition to a new fee schedule that will meet federal regulations. State of Indiana Division of Disability and Rehabilitative Services 402 W. Requirement: Provider must have been approved by BDS and OMPP prior to March 1, 2020. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and. Individuals and their families may find additional information courtesy of the Indiana Governor’s Council for People. (see list of counties in RRDC list on DOH website). The Home and Community-Based Services final rule and ongoing monitoring; Budget Modification. Use the HCBS Programs Service Request Form (DHS-6638). 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. 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. 1. Note: Item 3-E must be completed. A. Individuals must qualify for institutional care and must be enrolled in the IHCP to be eligible for HCBS waiver coverage. •Updated definition of “abuse” to align with. SDS will accept public comment on the proposed waiver amendments until 5:00 pm, Monday, October 9, 2023. 13 Agreement with the Individual Plan 4. Document Management Verfahren Reference: FROM HCBS Waiver Provider Manual. R01. Email HCPF_HCBSWaivers@state. All. Healthy Indiana Plan MCE Policies and Procedures Manual. SDMI HCBS Waiver Manual; Behavioral Health and Developmental Disabilities Division Severe and Disabling Mental Illness, Home and Community Based Services Waiver Manual, Effective 7/1/2020. Sent policy, information, and . us. HCBS Waiver applicants. Key Responsibilities Include:o Updated the service definitions for the following other services to better align with current Indiana policy and practice: Behavioral support services Application for 1915(c) HCBS Waiver: Draft IN. Chapter 3300 . approved. Applications are also available at local BDDS offices. 00. Waiver. Current waiver requirements can be found in the approved waiver applications and the Aging Rule . Indiana defines a traumatic brain injury as a trauma that has occurred as a closed or open head injury by an external event that results in damage to brain tissue, with or without injury to other body organs. A person is an HCBS recipient if he or she has been assessed, found in need of long. and 4. R06. All. 5. 000 Documentation Requirements 202. State of Indiana Division of Disability and Rehabilitative Services 402 W. 19,528 to 22,519 members in waiver year 5 (07/01/2017-06/30/2018). WA. participants and is available to assist all those who administer, manage, and participate in Indiana‘s HCBS Waiver programs. 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. The Iowa Finance Authority provides temporary rental assistance for members who receive services through Medicaid waivers. 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. : 20060927-IR-460050119FRA; readopted filed Nov 2, 2012, 8:32 Eligibility for HCBS Waiver Services . 2 Division of Disability and Rehabilitative Services Waiver Manual. The Home and Community-Based Services final rule and ongoing monitoring; Budget Modification Request/Budget Review Questionnaire training ; BMR training PowerPoint (10/31/2017) Planning Indiana's future - PowerPoint (04/28/2015) Information for providers Individuals must meet HCBS waiver eligibility and Medicaid eligibility guidelines to be eligible for a Medicaid HCBS waiver. 00. Clarified the process for provider access to the Indiana Medicaid (Indiana Health Coverage Programs) HCBS waiver provider manuals and the Bureau of Quality Improvement. Home and Community-Based Services Waiver Provider Manual. xlsx Author: Ben. The program covers medical care such as doctor visits, prescription medicine, mental health care, dental care, hospitalizations, and surgeries at little or no cost to the member or the member's family. Within 15 calendar days . 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. 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. These services are referred to as home and community-based services. IHCP updates. waiver services provided through a 1915(c) Home- and Community-based Services (HCBS) waiver program Note: Nonemergency transportation provided to HCBS waiver members for nonwaiver services is not exempt and must be brokered through Southeastrans. Video Conference ID: 113 496 800 4. in. Revised 200905 - 4 - Additional Waiver Resources In addition to this booklet there are several sources of information about Indiana’s Medicaid Waiver program that may be useful for people with disabilities and families: The Waiver Provider Manual for Home and Community-Based Services is a primary reference document for Home and Community. Once all documentation and forms are received by the Division of Aging, the Waiver Provider Analyst will review your Provider Application packet. Fee Schedules – HCBS for Adults with Severe Disabling Mental Illness (SDMI) Provider Notices. Indiana’s Aged & Disabled Waiver is a 1915(c) Home and Community Based Services (HCBS) Medicaid Waiver. specific areas in which Indiana showed noncompliance with HCBS requirements. 03/01/2022. In 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. Download the pdf to learn more about how the waiver can help you or your loved. The CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings. Physician. 00) Waiver Authority 1915 (c) Date Originally Approved 09/01/1994. South Country Provider Manual Chapter 4 Provider Billing for general billing processes and procedures. 00. ASSESSMENT OF HCBS REQUIREMENTS: REVIEW OF INDIANA’s STANDRADS, RULES, REGULATIONS, and REQUIREMENTS Start Date: 9/2014 End Date: 10/2014-Completed. By Jan. gov. and Community Based Services (HCBS) waiver programs, including: medical waivers (see our fact sheet Medicaid Waivers: A&D and TBI) and waivers for individuals with developmental and/or intellectual disabilities (supported through the Bureau of Developmental Disabilities Service or BDDS). These services are provided to youth, ages 6-17, who have a diagnosis of a serious emotional disturbance. The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. The information in this module applies to Indiana Health Coverage Programs (IHCP) services provided under the fee-for-service. More detailed information is available in the Provider Enrollment provider reference module. 1, 2024. As of June 30, 2020, there were 253 active 1915(c) HCBS waivers. Target Population. Department of Developmental Services Adult ID Waivers: These waivers provide services and supports to adults with intellectual disabilities so. Application for 1915(c) HCBS Waiver: Draft IN. Indiana Health Coverage Programs HCBS Waiver Claims Information for the Aged and Disabled Waiver BT200312 February 14, 2003 EDS Page 2 of 6 P. 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. Individuals must qualify for institutional care and must be enrolled in the IHCP to be eligible for HCBS waiver coverage. Providers must determine which HCBS program services they want and are qualified to provide. BQIS / Liberty of Indiana Corporation developed this guide, with input from IN-ABC and HABA in response to the. 5K. The Family Supports home- and community-based services waiver (FSW) provides limited, non-residential supports to individuals with developmental disabilities who live with their families or in other settings with informal supports. 1, 2016 The FSSA Resource Guide is a comprehensive document that provides information on various programs and services offered by the Indiana Family and Social Services Administration (FSSA). QUESTIONS? TO PRINTMassachusetts operates 10 HCBS waivers: Frail Elder Waiver (FEW): This waiver provides frail elders, aged 60 and older, access to the service and supports they need to live successfully in the community. Achieving the full intent of the HCBS rule with an emphasis on choices, access, and an array of options will require long term transformational systems change, including a redesign of Indiana’s HCBS delivery system and waivers. EASY ACCESS We want you to be able to find and get the supports you need in as easy a manner as possible. of receipt. In addition, each HCBS Waiver has non-financial eligibility requirements. The Family Supports home- and community-based services waiver (FSW) provides limited, non-residential supports to individuals with developmental disabilities who live with their families or in other settings with informal supports. Section 1915(c) of the Social Security Act authorizes the Secretary of Health and Human Services to waive certain. 00 - Aug 01, 2020 Page 3 of 193 05/01/2020. 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. Required Warranties. 00 Appendix 4 Form and Instructions. Disability Waiver generally agreed that the State should explore how to move individuals from the Home and Community Based Services (HCBS) Intellectual and Developmental Disability (I/DD) waiver waitlist on to the HCBS I/DD waiver. 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). The program permits a state to furnish an array of home and community. Golden Hoosier Award. Medicaid waiver provider relations Aged & Disabled waiver and traumatic brain injury waiver Phone: 317-232-4650Waivers usually require medical and financial eligibility, but state waiver eligibility requirements may not be exactly the same as state Medicaid eligibility. Homemaker. Additional requirements apply, based on the specific waiver program. 00. Updated: August 1, 2021 • See any files or records related to your health care • Be informed about how to report concerns with your case manager, services or providers to the Ohio Department of Medicaid You and your authorized representative (if applicable) direct your waiver services. 1 further explainsHCBS Final Rule Guidance and FAQs Part 2 4 The Rights Rule Another basic quality of an HCBS setting is participants’ rights of privacy, dignity, and respect, accompanied by freedom from coercion and restraint. 8200. 10. 0 . If approved, you will then be directed to download your Indiana Health Coverage Programs Waiver Billing Provider Application and Profile Maintenance packet through HP. Indiana Health Coverage Program Policy Manual . MEDICAID WAIVERS ; Sections 3300. O. To enroll in MHCP to provide waiver or AC program services, follow the instructions in the Home and Community-Based Services (HCBS) Programs Provider Enrollment section. Issued June 08, 2021 Page 1 of H-900. Potential provider enrolls with Indiana . 00 . 00. Specialized . Once all documentation and forms are received by the Division of Aging, the Waiver Provider Analyst will review your Provider Application packet. • ***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. 03/10/2022. On December 31, 2014, DDS submitted an HCBS Waiver application to CMS seeking federal funding for the Self-Determination Program (SDP). To keep getting these federal funds, we have to follow their rules. Waiver Administration and Operation. Let us guide you through your journey in collecting resources for your needs. plcm. Severe Disabling Mental Illness. We have also explored HCBS waiver capacity and state management of waiting lists and summarized state efforts to address the primary drivers of. 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. INDIANA HEALTH COVERAGE PROGRAMS BT202359 JUNE 6, 2023 IHCP announces new rates for DA and DDRS waivers, effective July 1, 2023 The Indiana Health Coverage Programs (IHCP) announces, effective July 1, 2023, the Division of Aging (DA) Aged. through an Indiana Medicaid HCBS waiver program operated by the DDRS. HCBS. ) The waiver details compliance with the Home and Community Based Service's (HCBS) Final Rule and Regulations per 42 CFR 441. including HCBS, demographics, budget, and other challenges in the provision of LTSS to Hoosiers. specific areas in which Indiana showed noncompliance with HCBS requirements. The following chart describes the non -financial eligibility criteria for those HCBS Waivers applicable to individuals with ID and/or autism: HCBS Waiver Key Non-Financial Eligibility Criteria Exclusions . m. Indiana Health Coverage Programs. 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)Indiana’s waiver program rate methodology updates to date have been generally ad hoc and targeted for specific services. Findings revealed HCBS waivers projected serving approximately 565,000 participants per year. The average state projected to serve approximately 13,000 participants a year, ranging from an average of 1,052 for Delaware to 102,500 for California. in. 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. According to NCI data that Indiana was able to utilize, the State demonstrated non-compliance with several HCBS requirements. MRO services must be provided by an IHCP-enrolled community mental health center (CMHC). Florida Medicaid . DARMHA user manual for RW providers - DMHA certified providers - July 2021. m. Hcbs Waiver Program Provider Manual Indiana - collection. 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. THE HCBS WAIVER QUALITY FRAMEWORK The goals of the HCBS Waiver are to ensure consumer choice of waiver services, consumer satisfaction, and to provide safeguards necessary to ensure the health and safety of. 291818717@t. 4. 20101. IHCP to cover additional COVID-19 vaccine and administration codes. IHCP updates. Release Date:Indiana Medicaid offers coverage for Adult Mental Health Habilitation (AMHH) home- and community-based services (HCBS). Additionally, case managers and waiver providers will assist waiver participants in developing a plan to continuethis waiver renewal. Traumatic brain injury means a sudden insult. As part of the requirement for the HCBS waivers, theRevised 200905 - 4 - Additional Waiver Resources In addition to this booklet there are several sources of information about Indiana’s Medicaid Waiver program that may be useful for people with disabilities and families: The Waiver Provider Manual for Home and Community-Based Services is a primary reference document for Home and Community. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in theMissouri Division of Developmental Disabilities Targeted Case Management (TCM), Home and Community Based Waiver Services (HCBS), and Preadmission Screening and Resident Review (PASRR) – Nursing Home Reform are federal programs administered by the Centers for Medicare and Medicaid Services (CMS). DARMHA/WITS user manual - DMHA certified providers - July 2021. For any waiver claims that are.