Health and wellness. Tentative Timeline. Waiver. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023 Policies and procedures as of June 1, 2023 Version: 10. The HCBA Waiver is the payer of last resort except where otherwise specified by law. 7: Indiana Money. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. 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. 00 – 3565. Indiana Health Coverage Programs. Older Americans Act/ Family Caregiver Support. IHCP Medicaid, 1915(c) HCBS waiver and 1915(i) HCBS benefit plan and service combinations. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and. More detailed information is available in the Provider Enrollment provider reference module. 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. IN. R06. Indiana Plan : HIP State Plan : Yes, copays apply and contribut ions accrue Y : N : MARB ; HIP Regular Basic 19 – 64 : ≤100% FPL : N/A : Healthy Indiana Plan HIP ABP Yes,. Application for 1915(c) HCBS Waiver: CA. Indiana Health Coverage Programs HCBS Waiver Audit Process, Recoupment, and Appeals BT200412 June 11, 2004 EDS Page 2 of 6. Individuals wishing to apply for Expedited Waiver Eligibility must be eligible for Medicaid and the A&D waiver. Requirement: Provider must have been approved by BDS and OMPP prior to March 1, 2020. 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. 00. 000 governs the provision of services under the Acquired Brain Injury Home- and Community-based Services Waivers (ABI Waivers) and the Moving Forward Plan Home- and Community-based Services Waivers (MFP. Prior Authorization Forms Claim Jumper Newsletters. 1, 2024. Potential provider enrolls with Indiana . 00. Ohio Home Care Waiver Handbook | 6 . participants and is available to assist all those who administer, manage, and participate in Indiana’s HCBS Waiver programs. in. 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. 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. A person is an HCBS recipient if he or she has been assessed, found in need of long. The Centers for Medicare & Medicaid Services (CMS) provides web-based training presentations and other materials on a variety of Home & Community Based Services (HCBS) topics to ensure that CMS, state agencies and other stakeholders have a clear understanding of HCBS Programs. , Room W454, MS 21. Waiver. According to NCI data that Indiana was able to utilize, the State demonstrated non-compliance with several HCBS requirements. )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). gov | The Official Website of the State of IndianaINDIANA HEALTH COVERAGE PROGRAMS BT2023141 OCTOBER 19, 2023 Page 1 of 2 CMS approves new rates for DA and DDRS waivers, retroactive to July 1, 2023 The Indiana Health Coverage Programs (IHCP) is excited to announce that our. Are certified by the state to qualify for nursing home level of care. Specifically, it establishes requirements for home and community-based settings in. specific areas in which Indiana showed noncompliance with HCBS requirements. Examples of external events are: mechanical; or events that interfere with vital functions. One must have limited income, limited assets, and a medical need for care. in. 7 million per state per year. In your email please provide as much information as you can as to which bulletin. The Community Integration and Habilitation Waiver is a program that provides services and supports to help individuals with intellectual or developmental disabilities live in their own homes or with their families. 455 IAC 2. Having a managed long-term services and supports program means FSSA will partner with experienced health plans to coordinate LTSS benefits and an individual’s other benefits such as Medicare. Home and Community-Based Services Waiver Provider Manual. DDS offers three main HCBS waivers for adults with Intellectual Disability, including the Adult Supports Waiver, Community Living Waiver, and Intensive Supports Waiver. Request Information (1 of 3) A. Indiana offers eight Medicaid Home- and Community-Based Services programs that target specific groups. Hcbs Waiver Program Provider Manual Indiana - collection. in the HCBS waiver and the Business and Professions Code, Section 4996. of receipt. 8 Most. To help providers prepare for this requirement, the IHCP has developed a two-page resource with helpful information: Electronic Visit Verification Preparation guide. WITS user manual recovery residences ONLY - INARR certified levels 2 & 3 only - October 2019. Adult Day Service Certification Tool for Aged Disabled and TBI Medicaid Waiver Date of desk review: Name of provider site: Level of Service: If the answer to any of these questions is yes, then heighten scrutiny must be applied to the review. 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. 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). ca. 402 W. 7500 Security Boulevard Baltimore, MD 21244. providers must be an IHCP approved HCBS Aged and Disabled Waiver Provider. Department Policy material is updated. 9. HCBS provides for supports and services beyond those covered by the Medical. Printing the manual material found at this website for long-term use is not advisable. Indiana 211 Indiana 211State of Indiana Division of Disability and Rehabilitative Services 402 W. 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 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. • Indiana must follow the to continue to provide HCBS waivers. Helpful hints are also included). gov DDRS HCBS Waivers Revision History . These 1915 (c) Waivers are funded with both state and federal dollars. Waiver Administration and Operation. Training on the SED waiver eligibility is available on the KDADS website through HCBS SED Waiver Eligibility Process Training - KDADS and KDHE. 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. 7 %âãÏÓ 20742 0 obj > endobj 20754 0 obj >/Filter/FlateDecode/ID[460BC07F6BCB1D4F86A8230B9789D7A5>]/Index[20742 22]/Info 20741 0 R/Length 71/Prev 2489480. BT202218. 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. ADRC Information, Referral and Assistance ADRC Information Referral Assistance Fillable. Structured Family Caregiving Waiver Rights and Responsibilities . 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. Policies and procedures as of July 1, 2019 Indiana Medicaid home and community-based services. 02 - Feb 01, 2020 (as of Feb 01, 2020) Page 5 of 266 01/22/2020 PURPOSE: This waiver is requested in order to provide home and community-based services to participants who, but for the to the FS waiver non-medical transportation service to match those included in the CIH waiver: • Level 1 transportation = $2625 • Level 2 transportation = $5250 • Level 3 transportation = $7875 Please note, no waiver participant is excluded from participating in non-medical waiver transportation services. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. 00 Annual. The Division of Disability and Rehabilitative Services manages the delivery of services to children and adults with intellectual and developmental disabilities. The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. 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. 1. Components of the Waiver Request The waiver application consists of the following components. IHCP updates PA policy for. Manuals. We have also explored HCBS waiver capacity and state management of waiting lists and summarized state efforts to address the primary drivers of. See More. , 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. 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. 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. 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 . 00 Appendix 3 Form and Instructions. Waiver. 9, within the scope of practice of an MFT. 6 Application for a §1915(c) Home and Community-Based Services (HCBS) Waiver, released January 2019. See Section 5. : 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. The design of DDS’s Medicaid HCBS Waivers is based upon a foundation of beliefs that have evolved from the DDS mission, Self Determination and Employment First principles, and the HCBS Waiver Assurances. Indiana Health Coverage Programs HCBS Waiver Claims Information for the Aged and Disabled Waiver BT200312 February 14, 2003 EDS Page 2 of 6 P. 000 Overview 201. In 2023, a single individual applying for Nursing Home Medicaid in Indiana must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $2,000 3). Use the HCBS Programs Service Request Form (DHS-6638). HCBS programs allow members to live in a community setting and avoid institutional placement. For example, a person with none of the HCBS Settings Rule outcomes present is expected to visit the emergency room an average of 1. brian. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. 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. According to NCI data that Indiana was able to utilize, the State demonstrated non-compliance with several HCBS requirements. 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. Application for 1915(c) HCBS Waiver: Draft IN. Approved? NO. All. pdf. 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). Indiana Health Coverage Programs to only provide telehealth services by defined practitioners. The AD Waiver is a home- and community-based services program for individuals who are aged or disabled and need long-term care. 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 an amendment to the following Medicaid home and community-based services waiver approved under authority of §1915(c) of the Social Security Act. integrated settings. community-based services (HCBS) waiver. 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 toAGED AND DISABLED WAIVER (A&D) TRAUMATIC BRAIN INJURY WAIVER (TBI) State Form 55512 (R / 7-14) Attention: Waiver / Provider Analyst FAMILY AND SOCIAL SERVICES ADMINISTRATION INDIANA HEALTH COVERAGE PROGRAMS (IHCP) DA Home and Community-Based Services Waivers 402 West Washington Street, Room. 100 Providers of CES Waiver Services in Arkansas and Bordering States Trade Area Cities 202. The following steps outline the basic enrollment process for this provider type. 00 PERMISSIBLE HCBS WAIVER CATEGORIES Indiana’s approved HCBS waivers specify the eligibility categories under which a person can beIndiana HCBS Spending Plan provides a one-time opportunity to invest $727 million in federal relief dollars into initiatives that enhance, expand, and strengthen Indiana’s home and community-based services ecosystem. The guide covers topics such as eligibility, benefits, enrollment, appeals, and contacts for Medicaid, SNAP, TANF, and other FSSA programs. DETAILED POLICY STATEMENT: 1. In the settings rule CMS clarified expectations about person-centered planning and the things that need to happen when HCBS waiversFor information on becoming one of the following HCBS waiver providers or to request an application, please contact Provider Enrollment at (916) 552-9105. Library Reference Number: PROMOD00039 v Published: Feb. Before submitting an Indiana Health Coverage Programs (IHCP) enrollment application, waiver providers must have Family and Social Services Administration (FSSA) certification. Section 4. 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. (HCBS) waivers with DOS on or after July 1, 2023. As part of the requirement for the HCBS waivers, the participants and is available to assist all those who administer, manage, and participate in Indiana‘s HCBS Waiver programs. 00. Level of Care (LOC) Level-of-care (LOC) requirements for the A&D and TBI waivers are as follows:Centers for Medicare & Medicaid Services. WASHINGTON STREET, P. 03 - May 26, 2020 (as of May 26, 2020) Page 5 of 274 04/30/2020. – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant members and Package C for children under age 19. 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. HCBS waiver or Money Follows the Person (MFP) demonstration grant, including the following:. Agenda • Introduction and Background of the CMS HCBS Settings. Indiana Health Coverage Programs Waiver Claims Information BT200021 June 30, 2000 EDS 2 P. 03/10/2022. gov. 02 - Feb 01, 2020 (as of Feb 01, 2020) Page 5 of 266 01/22/2020. The waiver includes person-centered planning requirements and specifies transitional coverage requirements for children/youth enrolled in any of the aforementioned 1915(c) waivers at the time of transition. Learn how to access the AD Waiver and improve your quality of life. 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 supportingOf MED 3 categories of Medicaid include the Healthy Indiana Plan (HIP) and extra categories this use the Modified Adjusted Gross Income (MAGI) budgeting rules for the financial eligibility determination. DDRS Home. Reimbursement: an evaluation of rates and rate methodology. Requires assistance with at least three activities of daily living. Employment and Day Supports Waiver. e. HCBS 1915(c) Compliance Flowchart : Steps to compliance for HCBS requirements in a 1915(c) waiver and 1915(i). Personal emergency response system. Case Management Rule 18. We now know it as the MI Choice Waiver Program, or simply, "the waiver. Or call in (audio only) +1 406-318-5487,,232465800#. Approved? NO. 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. It is the authorized reference document for Indiana Medicaid HCBS Waiver service. Process for adding temporary services/counties during COVID-19 public health emergency. In accordance with the public notice requirements of 42 CFR 441. S. The Division of Disability and Rehabilitative Services operates two HCBS programs for children and adults with intellectual disabilities: Community Integration and Habilitation Waiver; Family Supports Waiver; Division of Mental Health. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. , beneficiaries diagnosed. Click Here for Draft 1915 (c) HCBS Waiver Application. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. The Indiana Health Coverage Programs (IHCP) provider reference modules are the primary reference for billing and reimbursement guidance for providers conducting business with the IHCP. and 4. 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-centeredThe Aged and Disabled waiver is a program that provides home and community-based services to eligible individuals who need nursing facility level of care. Section 1915(c) of the Social Security Act authorizes the Secretary of Health and Human Services to waive certain. 6 of the DDRS Waiver Manual, Provider Agreement Checklist Form, and data from the 90 day check list. However, only members withwith developmental disabilities. Final regulations for HCBS provided under Medicaid’s 1915 (c), 1915 (i) and 1915 (k) authorities. California currently has six Home and Community-Based Services (HCBS) waivers, including the Home & Community-Based Alternatives (HCBA) Waiver. 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. : 20060927-IR-460050119FRA; readopted filed Nov 2, 2012, 8:32 Eligibility for HCBS Waiver Services . These programs are intended to assist a person to be. Type of Request: renewal Requested Approval Period:Application for 1915(c) HCBS Waiver: MD. Alabama St. 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). Case Management Rule 18. 006. 010. application. Waiver service changes The DDRS has. 0 Page 4 of 80 The administrative structure for California’s HCBS Waivers places responsibility for quality assurance and monitoring at all three levels. 3310. The Home and Community-Based Services final rule and ongoing monitoring; Budget Modification. g. The amendment includes changes to the waiver services, rates, and policies. R03. 3: Initial Level. Starting &HCBS Provider does not discriminate in employment opportunities or practices on the basis of race, color, religion, sex, national origin, age, or any other. 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. Rule 1. Countable assets include bank accounts, retirement accounts, stocks, bonds, certificates of deposit, cash and any. 00. 00) Waiver Authority 1915 (c)Application for 1915(c) HCBS Waiver: Draft . Applications are also available at local BDDS offices. APPLICANT INFORMATION: Identify the partnership, corporation, or governmental agency applying to lawfully establish, conduct, and provide service. 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. To be eligible for any HCBS program, you must meet Medicaid guidelines and HCBS program-specific eligibility guidelines. Services include: Adult day care. To keep getting these federal funds, we have to follow their rules. 40166. Learn more about the CIH Waiver and how it supports individuals with. 00. Box 7083. 00 – 3380. 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. xlsx Author: Ben. 21, 2022. 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 . C. HCBS Rate Review Updates. For this purpose, the Department is developing a set of "survey tools" to assess individual settings for home and community-based characteristics. 1. MEDICAID WAIVERS ; Sections 3300. 2 Division of Disability and Rehabilitative Services Waiver Manual. Fact Sheets Regarding Final Regulation CMS-2249-F/CMS-2296-F. 04. 19,528 to 22,519 members in waiver year 5 (07/01/2017-06/30/2018). 00. A printed copy of the waiver application and special accommodations (i. 9. Therefore, the Committee recommends: The Legislative Coordinating Council (LCC) consider approving a task. 0210. n/docs/hcbs_manual. IHCP to cover additional COVID-19 vaccine and administration codes. Monthly newsletter. Indiana’s Aged & Disabled Waiver is a 1915(c) Home and Community Based Services (HCBS) Medicaid Waiver. : Ordering Information Contact information you can use. MCE Reporting Manual. Providers of this service must conduct incident. R06. 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. Title: IN HCBS Rate Build-up - Proposed - Public Notice - Final. gov . P. 100 CES Waiver Services 200. A person-centered treatment plan is built upon the member and family's strengths to identify the following: The unique. Application for 1915(c) HCBS Waiver: IN. 7: Indiana Money Follows the Person (MFP) See full list on in. You will be notified by letter when the process is complete and your waiver billing number is assigned. 1506. Resource guide. 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. The final rule amends the regulations for the 1915(c) HCBS waiver program, authorized under section 1915(c) of the Social Security Act (the Act), in several important ways designed to improve the quality of services for individuals receiving HCBS. report. IHCP to cover additional COVID-19 vaccine and administration codes. On December 31, 2014, DDS submitted an HCBS Waiver application to CMS seeking federal funding for the Self-Determination Program (SDP). DMHA; About DMHA; Current: Provider Information Provider Information Psychiatric Residential Treatment Facility Transition Waiver. Policies and procedures as of Sept. Manual. These services are referred to as home and community-based services. 3. 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: IN. Homemaker. Modules include instructions for submitting IHCP claims and prior authorization (PA) requests, as well as other related. Manual FSSA and Gainwell . P. Training topic categories are listed below which. Has countable assets under $2,000. Golden Hoosier Award. To provide further information a webinar explaining the deadlines was held on September 28, 2017. States can operate as many HCBS Waivers as they want — currently, about 257 HCBS Waiver programs are active. Attachment E SED Waiver Annual Evaluation of Level of Care (LOC) Attachment F SED Provisional Plan of Care. R04. , 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. This revised Program Manual reflects these changes and provides further clarification of definitions and scope of the HCBS/TBI waiver services. Individuals must meet both HCBS eligibility and Medicaid eligibility guidelines in order to be eligible for BPHC services. 00. 2346. With variations, there are four base plans: HIP Plus is the preferred plan for all HIP members and includes more benefits such as dental and vision. indiana@fssa. & Inst. 1. Medicaid Rules and Regulations. The Centers for Medicaid and CHIP Services (CMCS) issues technical assistance as part of the state-federal partnership in administering the Medicaid programs. 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. 304(e) and (f) and Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical. 21, 2022. 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. This eligibility applies as long as the person is enrolled in the Waiver. Most Hoosiers want to age at home. For the purpose of the Medicaid program and as used in this Manual, HCBS Waiver services are defined as follows: Adaptive Technologies . Lower Hudson Valley - 845-228-7457 ext. The CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings. IHCP to cover additional COVID-19 vaccine and administration codes. Phone: 765-288-6516. YES. 855-673-0193, ext. Providers wanting to add a temporary service will email a request to [email protected]. m. Preadmission Screening and Resident Review. O. Applicants must have qualifying scores on standard assessments and be at risk for inpatient. Medicaid Waiver Program Coverage Subject to terms and conditions of the waiver agreement and Secretary of Health and Human Services’ approval, states may choose to cover certain HCBS under one or more waiver programs. : 20060927-IR-460050119FRA; readopted filed Nov 2,. indiana@fssa. activities that need to happen when HCBS waivers are administered. Additionally, case managers and waiver providers will assist waiver participants in developing a plan to continuethis waiver renewal. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. IHCP updates. Name: * Address: * City: * State:Indiana applies for permission to offer Medicaid Waivers from the Centers for Medicare and Medicaid Services. (HCBS) waivers are authorized under section 1915(c) of the Social Security Act and governed by Title 42, Code of. Eligibility criteria includes: Age 65 or older. 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. 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 Elderly Waiver (EW) is a federal Medicaid waiver program funds Home and Community Based Services (HCBS) for people ages 65 and over who require the level of care provided in a nursing home but choose to reside in the community. HCBS waivers are also discussed in 16-K, Medicaid Waiver Services, with an emphasisThe Elderly waiver is for people 60 years or older who live in the community. Children’s HCBS Waiver Overview Cont. Click Here for Draft 1915 (c) HCBS Waiver Application. Indiana Administrative Code Page 1 ARTICLE 2. HCBS Waiver Compatible? MA 4 : IV-E Foster Children ≤18 . Current waiver requirements can be found in the approved waiver applications and the Aging Rule . 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. All. Washington St. 00 PERMISSIBLE HCBS WAIVER CATEGORIES Indiana’s approved HCBS waivers specify the eligibility categories under which a person can beThe AD Waiver is a home- and community-based services program for individuals who are aged or disabled and need long-term care. DDRS HCBS Waivers Revision History . For HCBS Habilitation and HCBS waivers, the. co. And Repair $500. 301(c)(4). MASI, MA A, MA B, MA D, MADW, or MADI. A federal government managed website by the Centers for Medicare & Medicaid Services. R00. 03/03/2022. EN. HIP is for individuals aged 19 to 64. For more information, visit their website or contact. Indiana operates this 1915(c) waiver concurrent with a 1915(b) waiver to implement Indiana PathWays for Aging (PathWays), a statewide managed long term services and supports (MLTSS) program. and without photos, is available for your convenience. FSSA and HPE : 1. COVERAGE AND LIMITATIONS HANDBOOK. Purpose: The. Questions? Need help applying? Call The Arc Advocacy Network at 317-977-2375 or 800-382-9100 and ask to speak with a family advocate. 00 - Apr 17, 2020 Page 2 of 363 11/06/2019In 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. Appendix A specifies the administrative and operational structure of this waiver. Charles St. O. 6, January 2019] Instructions, Technical Guide and Review Criteria . 0210. 03 - Jul 01, 2022 (as of Jul 01, 2022) Page 2 of 259 06/03/2022. BDDS is committed to ensuring Medicaid Waivers assist individuals in achieving their vision of a good life. Under the HCBS waiver. As found in the Indiana Medicaid Policy Manual (section 3310. Of these, 218 waivers reported providing one or more PCS. 7500 Security Boulevard Baltimore, MD 21244. The program permits a state to furnish an array of home and community. Severe Disabling Mental Illness. Waiver Administration and Operation. HCBS Setting Characteristics (42 CFR 441. • If an individual is approved for a HCBS Waiver, KanCare looks only at the income and assets of the person who will receive services. 100 Documentation in Beneficiary’s Case Files 202. Ombudsman. All have meaningful access and an equal opportunity to participate in our services, actives, programs and other benefits. 22, 2022. Final Rule Q&A: covers State Plan HCBS, Five-Year Period for Waivers, Provider Payment Reassignment, Setting Requirements for Community First Choice, and HCBS Waivers. BT202218. 20. BOX 7083 INDIANAPOLIS, IN 46207-7083. Chapter 3300 . gov and check back for additional. gov and check back for additional. BT202218. The Indiana Family and Social Services Administration (FSSA) has extended the deadline for Home- and Community- Based services (HCBS) Provider Readiness Grants to Nov. . 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. m.