IHCP to cover additional COVID-19 vaccine and administration codes. Traumatic brain injury means a sudden insult. HCBS Manuals & Forms General Forms PD Applicant Crisis Evaluation (PD-ACE) Form. 05/30/2023. 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. Services: a review of expenditure data, policy information, and oversight considerations for the most utilized services by Medicaid HCBS waiver participants. These services are referred to as home and community-based services. AMHH services are also available for eligible adults with both. Section 1915(c) of the Social Security Act authorizes the Secretary of Health and Human Services to waive certain. States can operate as many HCBS Waivers as they want — currently, about 257 HCBS Waiver programs are active. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. 100 Providers of CES Waiver Services in Arkansas and Bordering States Trade Area Cities 202. m. 12 Aquatic Activity Screening 4. 1. 21, 2022. FSSA and HPE : 1. It also includes. 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. BT202218. Subject: Reimbursement . WASHINGTON STREET, P. : 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. HCBS waiver or Money Follows the Person (MFP) demonstration grant, including the following:. There are two BDDS/Indiana Medicaid. These services are provided to youth, ages 6-17, who have a diagnosis of a serious emotional disturbance. HCBS Rate Review Updates. Applicants must have qualifying scores on standard assessments and be at risk for inpatient. And Repair $500. gov, with the subject line DDRS Bulletin. Potential provider enrolls with Indiana . Welf. m. m. brian. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. 1915 (c): Changes to HCBS Waiver Program. Home and Community-Based. Indiana 211 Indiana 211State of Indiana Division of Disability and Rehabilitative Services 402 W. BDDS is committed to ensuring Medicaid Waivers assist individuals in achieving their vision of a good life. O. 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). To register or re-register to receive all DDRS updates click here. 855-673-0193, ext. 00 GENERAL INFORMATION ABOUT HCBS WAIVERS There are four home and community-based services (HCBS) waivers: • Aged and Disabled (A&D) • Community Integration and Habilitation (DD) • Family Supports (SS) • Traumatic Brain Injury (TBI). This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and will be updated on a quarterly basis. 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. In your email please provide as much information as you can as to which bulletin. 3: Initial Level of Care Evaluation<br /> for details. – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant members and Package C for children under age 19. The guide also includes links to IHCP companion guides and other useful. A person-centered treatment plan is built upon the member and family's strengths to identify the following: The unique. 000 COMMUNITY AND EMPLOYMENT SUPPORTS WAIVER GENERAL INFORMATION 201. It explains the eligibility criteria, service definitions, provider qualifications, and quality assurance measures for each waiver. The HCBS Waivers fund services that prevent or delay living in a long. Part of Wyoming Medicaid, the Home and Community Based Services (HCBS) Section oversees waiver programs for individuals with developmental disabilities, acquired brain injuries, and who are ages 19-64 with a physical disability or ages 65+ who need nursing facility level of care. We use this guidance, in the form of. Requirement: Provider must have been approved by BDS and OMPP prior to March 1, 2020. Indiana’s Aged & Disabled Waiver is a 1915(c) Home and Community Based Services (HCBS) Medicaid Waiver. Washington St. 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. Figure 7 of this manual provides a breakdown of each 1915(c) HCBS waiver and the responsible regulating agency. All, Behavioral Health, Hospital, Psych Residential Treatment Facility. WASHINGTON STREET, P. ca. In your email please provide as much information as you can as to which bulletin. 5. and 4. HCBS provides for supports and services beyond those covered by the Medical. 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. us. Learn more about the eligibility,. meeting the needs of the member and to review the member’s eligibility for HCBS waiver services All HCBS waiver providers must make available to the EDS auditors all necessary documentation and/or other applicable records, in order to fully disclose and document the extent of service billed to the IHCP HCBS waiver program in accordance with. To apply, interested eligible HCBS Aged & Disabled (A&D) Waiver providers should submit the required grant attestation form. 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. 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. Title: IN HCBS Rate Build-up - Proposed - Public Notice - Final. All, Behavioral Health, Hospital, Psych Residential Treatment Facility. To apply, submit the attestation form by 5:00 p. It is the authorized reference document for Indiana Medicaid HCBS Waiver service. Traumatic brain injury means a sudden insult. Box 7083. HCBS Waiver. Let us guide you through your journey in collecting resources for your needs. The program permits a state to furnish an array of home and community. 4. approved. 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. 9, within the scope of practice of a LCSW. Examples of external events are: mechanical; or events that interfere with vital functions. Click Here for Draft 1915 (c) HCBS Waiver Application. 00 Appendix 2f 4. 00. 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. d. 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. IFS Waiver (PDF, 962 KB) IFS Waiver Evidence Report April, 2011 (PDF, 3077 KB) IFS Waiver Amendment 10/1/2008 (DOC, 1781 KB) Medicaid HCBS Programs. *For children under 18, approved for Medicaid disability and on an HCBS waiver, parent’s income and resources are exempt in the budget. Library Reference Number: PROMOD00039 v Published: Feb. 00 Appendix 2e 4. Medicaid. EDS is the contracted fiscal agent for the Indiana Family and Social Services Administration to reimburse services according to the Indiana Health Coverage Programs (IHCP) criteria as outlined in the Indiana Administrative Code 405 IAC 1-5-1. This waiver will offer the following supports for waiver participants: Behavioral. INDIANA HEALTH COVERAGE PROGRAMS BT2022107 NOVEMBER 29, 2022 Caregiver Coaching and Behavior Management service added for A&D waiver The Office of Medicaid Policy and Planning (OMPP) and the Division of Aging (DA) announce the addition of one new. IN. 0Final Rule Webinar: Presentation of the final Medicaid HCBS rule. O. 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. The information and direction in this manual replaces all previous waiver manuals. General information about waivers in Indiana can be found on the state’s HCBS Waiver Page. IHCP Medicaid, 1915(c) HCBS waiver and 1915(i) HCBS benefit plan and service combinations. 00. HCBS waiver or Money Follows the Person (MFP) demonstration grant, including the following:. Added HCBS waiver to the section. A. 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. All. 14 Put the plan into action 4. 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. The categories are the following: MED 1 Categories. O. 00. This new rule is referred to as the settings rule. All are 1915 (c) HCBS waivers, and all waive parent income and are open to children of all incomes. BR202322. R06. Send potential provider BDDS HCBS . HCBS waivers, such as general application procedures, client participation, reviews, and payment information. 1915(c) waiver programs 1915(k) Community First Choice programsprovision of a BDS administered HCBS waiver service to an individual with an intellectual and developmental disability. 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. IHCP announces spring/summer HCBS business acumen training schedule. If approved, you will then be directed to download your Indiana Health Coverage Programs Waiver Billing Provider Application and Profile Maintenance packet through HP. IHCP to cover additional COVID-19 vaccine and administration codes. 8 times per year. Indiana Health Coverage Programs HCBS Waiver Audit Process, Recoupment, and Appeals BT200412 June 11, 2004 EDS Page 2 of 6. State Waiver and Amendment Approvals; Tools and Checklists for States; Other Agency Guidance. IHCP announces spring/summer HCBS business acumen training schedule. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. DDRS will rely on case managers and waiver providers as front-line contacts for addressing concerns of waiver participants (and family members). oMeasure SP C. You can find out more online or by calling 1-877-GET-HIP9 (1-877-438-4479). of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. FSSA and HPE : 1. Contents. 03 - Jul 01, 2023 Page 3 of 347 1. 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. All. Library Reference Number: PROMOD00039 v Published: Feb. 21, 2022. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. The CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings. 03/01/2022. , 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. 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. BT202219. Reside in or transitioning into an HCBS-compliant setting (non-institutionalized) Aged and Disabled Waiver ; Traumatic Brain Injury Waiver ; Division of Disability and Rehabilitative Services. 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. in. 1506. Mary G. Notify potential provider of denial. As of June 30, 2020, there were 253 active 1915(c) HCBS waivers. Application for 1915(c) HCBS Waiver: IN. 402 W. 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. 01 - Feb 01, 2020 (as of Feb 01, 2020) Page 4 of 255 01/22/2020. 0210. See HCBS waiver provider manual, section 8 X X 3. * • Per p. (IAC) regulations and current Indiana waiver policies regarding incident reporting. Case manager resources. EN. please email backhome. 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. The Medicaid Home-and Community-Based Services (HCBS) waiver program was authorized under Section 1915 (c) of the Social Security Act. This pdf document provides detailed information about the AD Waiver, including eligibility criteria, services offered, cost sharing, and application process. In the settings rule CMS clarified expectations about person-centered planning and the things that need to happen when HCBS waiversThey are typically published in late January and become effective for Indiana Medicaid eligibility determinations in March or April. 200 HCBS. Policies and procedures as of Sept. 5 and 4. Modules include instructions for submitting IHCP claims and prior authorization (PA) requests, as well as other related. Providers must determine which HCBS program services they want and are qualified to provide. 1, 2016%PDF-1. Manuals: Nuon . The HCBA Waiver is the payer of last resort except where otherwise specified by law. 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. Providers must determine which HCBS program services they want and are qualified to provide. 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. 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. To be eligible individuals must: Be 19 years of age or older. 6767) eric. The revised Program Manual is dedicated to all participants of the past, present and future,Application for 1915(c) HCBS Waiver: Draft CA. 2 Division of Disability and Rehabilitative Services Waiver Manual. (HCBS) waivers with DOS on or after July 1, 2023. HCBS Waiver Compatible? MA 4 : IV-E Foster Children ≤18 . General Requirements (1) The department has adopted and incorporated by reference the Medicaid Home and Community-Based Services (HCBS) for Adults with Severe and Disabling. 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. 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. HCBS. 03/01/2022. Type of Request: Renewal. WASHINGTON STREET, P. Additional requirements apply, based on the specific waiver program. Download the pdf to learn more about how. BR202322. 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. *When rendering HCBS waiver services through telemedicine, see the billing guidance published in IHCP Bulletin BT202037 and IHCP Banner Page BR202016. Application for 1915(c) HCBS Waiver: IN. The waiver’s purpose is to provide medically necessary services to. Qualified providers must meet the standards established in the Department of Developmental Services (DDS) Home and Community Based Services Waiver. These benefits can help you remain in your home and community. in the HCBS waiver and the Business and Professions Code, Section 4996. Capitalizing on and expanding our expedited eligibility. 0210. 1, 2015 Published: Feb. This new rule is referred to as the settings rule. Coordination, Child Mental Health Wraparound, or any HCBS waiver or MFP plan. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. Health and wellness. S. 100 CES Waiver Services 200. These 1915 (c) Waivers are funded with both state and federal dollars. 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). BT202217. 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). See IHCPPM 3315. The amendment includes changes to the waiver services, rates, and policies. 2 Periodic Review of the Plan IP. The Iowa Finance Authority provides temporary rental assistance for members who receive services through Medicaid waivers. Consumer-Directed Services Worksheet Form/Instructions HCBS-3c 4. integrated settings. 9, within the scope of practice of an MFT. 00. & Inst. 301): Assessor's Observations, Comments, and NotesMRO services are clinical behavioral health services provided to members and families of members living in the community who need aid intermittently for emotional disturbances, mental illness and addiction. Home- and Community-Based Services (HCBS) are types of person-centered care delivered in the home and community. iv Library Reference Number: PRPR10014 Published: December 8, 2020 Policies and procedures as of July 16, 2020 Version: 8. IN. 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. 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. gov) August 2022. Adult Protective Services. ” The data source was updated and wording modified for clarity. Department Policy material is updated. INDIANA HEALTH COVERAGE PROGRAMS BT202239 MAY 19, 2022 Page 1 of 6 IHCP announces final 2022 telehealth and virtual services code set The Indiana Health Coverage Programs (IHCP) will be. Note: Item 3-E must be completed. or transport through use of manual restraint; Braces, helmets, splints for behavior control. The Community Supports Waiver is designed to provide integrated support services to participants and their families, which• The provider must be an enrolled HCBS waiver provider for the. 00 – 3380. ) The waiver details compliance with the Home and Community Based Service's (HCBS) Final Rule and Regulations per 42 CFR 441. Community-Based Waiver Provider Manual 4217 The claim was submitted using an invalid provider number (not a waiver provider number). Section 4. 1915 (i): Key Provisions for HCBS State Plan Option. Home and community-based services (HCBS) through the. 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. Program Title: Home and Community Based Alternatives Waiver . R06. 19,528 to 22,519 members in waiver year 5 (07/01/2017-06/30/2018). Approval: 07/01/1990: Effective: 07/01/2023: Expiration:Indiana Medicaid offers coverage for the Child Mental Health Wraparound (CMHW) home and community-based services (HCBS). Manuals. 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. Manual FSSA and Gainwell . WASHINGTON STREET, P. Lower Hudson Valley - 845-228-7457 ext. gov . 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. Individuals must meet both HCBS eligibility and Medicaid eligibility guidelines in order to be eligible for BPHC services. •Indiana has about 2% of the U. Reimbursement: an evaluation of rates and rate methodology. Each MRO service must be rendered by an. PURPOSE OF THE HCBS WAIVER PROGRAM The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. 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. 3: Initial Level. O. of receipt. 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. This pdf document provides detailed information about the AD Waiver, including eligibility criteria, services offered, cost sharing, and application process. 12 to discuss general system use. The State of Washington 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). 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. 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). 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. All. Indiana Health Coverage Program Policy Manual . 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. Services provided by an MFT under a waiver program include only those services described in the HCBS waiver and the Business and Professions Code, Sections 4980, 4980(b), 4980. New document . participants and is available to assist all those who administer, manage, and participate in Indiana’s HCBS Waiver programs. 00. A. BT202218. Once all documentation and forms are received by the Division of Aging, the Waiver Provider Analyst will review your Provider Application packet. Specialized . 3: Cost Neutrality<br />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 AdministrationStatewide Transition Plan. About. 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. Personnel Policies and Manuals Rule 16. A program authorized under §1915(i) of the Act. AGED AND DISABLED & TRAUMATIC BRAIN INJURY WAIVER:. iv Library Reference Number: PRPR10014 Published: December 8, 2020 Policies and procedures as of July 16, 2020 Version: 8. 00 Annual. 8 Most. HCBS Waiver Nurse Provider – RN and LVN (Individual Nurse Provider) INP Medi-Cal Checklist. Providers should also understand and comply with national guidelines for proper billing. * 1. 402 W. Help@fssa. 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. 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. 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. California’s six 1915 (c) Waivers are: Waiver Name. In Indiana, the HCBS Waiver is called the Aged and Disabled (A&D) Waiver. It is the authorized reference document for Indiana Medicaid HCBS Waiver service. 7: Indiana Money Follows the Person (MFP) DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. 3/29/19). WA. 2 Agenda. Medicaid HCBS. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. Indiana Family to Family also has fact sheets available on these programs. The CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings. 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). 9. Inquiries about the Indiana Refugee Services program can be directed to. An application for Medicaid Waiver services can be made online at BDDS Gateway. gov/fssa (FSSA Home > Aging Services > Aging Home > Medicaid HCBS). Louisiana Medicaid Eligibility Manual Eligibility Determinations . HCBS Rate Review Updates. HCBS programs address the needs of people with functional limitations who need assistance with everyday activities, like getting dressed or bathing. 8) 9/2014; State Plan Amendment 10/1/20; 1915(b)(4) Waiver Fee-for-Service. O. indiana@fssa. indiana@fssa. 0013. Based Services Waiver PURPOSE OF THE HCBS WAIVER PROGRAM The Medicaid Home and Community-Based Services (HCBS) waiver program is authorized in §1915(c) of the Social Security Act. 26 A small. , personal care) are optional services that states can choose to cover. (HCBS) waivers are authorized under section 1915(c) of the Social Security Act and governed by Title 42, Code of. xlsx Author: Ben. 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. In addition, each HCBS Waiver has non-financial eligibility requirements. 03. This eligibility applies as long as the person is enrolled in the Waiver. (HCBS) waiver under the authority of §1915(c) of the Social Security Act (the Act). Additional requirements apply, based on the specific waiver program. Home and community-based services are also known as waiver-funded services or waiver programs. 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. **HCBS Incident Submission Guidance Manual** Important. Manual review . 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. 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. 100 Documentation in Beneficiary’s Case Files 202. in. Modules include instructions for submitting IHCP claims and prior authorization (PA) requests, as well as other related topics. Indiana offers eight Medicaid Home- and Community-Based Services programs that target specific groups. , Suite 130. Box 7083. Medical Equip . 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. Prior Authorization Forms Claim Jumper Newsletters. provided through the HCBS Waiver. 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. Before submitting an Indiana Health Coverage Programs (IHCP) enrollment application, waiver providers must have Family and Social Services Administration (FSSA) certification. 00. BPHC Rule 12/16/13; BPHC provider module 7/28/2022; BPHC Rule (AC Article 5-21. Instead, the Waiver has a limited number of participant enrollment slots, and when these slots are full, a waitlist for program participation forms. The proposed waiver amendments can be viewed below. 13 Agreement with the Individual Plan 4. A. BT202218. 03/01/2022. 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. INDIANA HEALTH COVERAGE PROGRAMS BT201624 MAY 5, 2016 Page 1 of 8. Individuals must qualify for institutional care and must be enrolled in the IHCP to be eligible for HCBS waiver coverage. Structured Family Caregiving Waiver Rights and Responsibilities . Individuals must meet HCBS waiver eligibility and Medicaid eligibility guidelines in order to be eligible for a. Phone Conference ID: 232 465 800#. g. 1. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. Personal emergency response system. IHCP Model Enrollee. 00 PRESUMPTION OF INTENT IN TRANSFERRING PROPERTY Add. 00. DDRS Home. DDRS HCBS Waivers Revision History . 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. 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. 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. Individuals must qualify for institutional care and must be enrolled in the IHCP to be eligible for HCBS waiver coverage. This information is accurate as of July 1, 2023 for State Fiscal Year 2023-24. Medicaid Home- and Community-Based Services. 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. Waiver Administration and Operation. Announced on Jan. The Indiana Medicaid Home and Community Based Services (HCBS) Waiver program provides individualized supports to assist people, of all ages, live successfully in home. For example, a person with none of the HCBS Settings Rule outcomes present is expected to visit the emergency room an average of 1. Attachment E SED Waiver Annual Evaluation of Level of Care (LOC) Attachment F SED Provisional Plan of Care.