Indiana Health Coverage Programs to only provide telehealth services by defined practitioners. BPHC Rule 12/16/13; BPHC provider module 7/28/2022; BPHC Rule (AC Article 5-21. Indianapolis, IN 46027. Nearly all states and DC offer services through HCBS Waivers. One must have limited income, limited assets, and a medical need for care. (HCBS) waivers are authorized under section 1915(c) of the Social Security Act and governed by Title 42, Code of. IHCP to cover additional COVID-19 vaccine and administration codes. Eligibility for HCBS Waiver Services . HCBS Rate Review Updates. HCBS 1915(c) Compliance Flowchart : Steps to compliance for HCBS requirements in a 1915(c) waiver and 1915(i). BR202322. rates for a period of time and allows Indiana a runway to transition to a new fee schedule that will meet federal regulations. R00. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. 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. 800-622-44844 Exhibit 2 – A&D and TBI Waiver Enrollees Using Assisted Living Services Waiver SFY 2013 SFY 2014 SFY 2015 A&D Waiver8 1312 1639 1882 TBI Waiver 4 3 Total 1316 1643 1885 The majority of assisted living enrollees fell into the AL1 rate cell, the least impaired level of service, asAs a follow-up to Indiana Health Coverage Programs (IHCP) Bulletin BT202025, the IHCP has decided to extend the timely filing limit to March 31, 2021, for certain Aged and Disabled (A&D) Home- and Community-Based Services (HCBS) and Traumatic Brain Injury (TBI) waiver services, with dates of service (DOS) on or after April 1, 2019. Waiver Administration and Operation. Medicaid HCBS; Older Americans Act/ Family Caregiver Support; Ombudsman;. IHCP to cover additional COVID-19 vaccine and administration codes. More detailed information is available in the Provider Enrollment provider reference module. R01. Adaptive Technologies are devices, aids, controls, appliances or supplies determined necessary to enable the waiver participant to increase his or her ability to function in aHCBS benefits. 0210. What are Home- and Community-Based Medicaid Waivers? BDDS offers two home- and community-based Medicaid waivers, known as the Community. 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. gov, with the subject line DDRS Bulletin. Resource guide. 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. Section 4. Personnel Policies and Manuals Rule 16. IHCP Provider Reference Modules. Waiver, HCBS, Rates, Rate Structure, Home- and Community-Based Services Waiver Created Date:IN seniors must be financially and medically eligible for long-term care Medicaid. See the Anthem Provider Operations Manual for a list of HIP benefits and services. 1, 2024, however, Indiana must transition to a reimbursement model with consistent rates across all its programs. 00 - Jan 01, 2023 Page 4 of 178 02/16/2023• Medicaid home- and community-based services (HCBS) are designed to allow people with long-term services and supports (LTSS) needs to live in their homes or a homelike setting in the community. 00 Appendix 4 Form and Instructions. 7 million per state per year. 3 This increase is consistent with the average. 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. 11-16-2023 IHCP will host webinar to discuss provider notices published during October. Indiana’s initial STP was submitted to CMS. 3. The eligibility review process starts at one of OPWDD's five Developmental Disability Regional Offices (DDROs). 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. Waiver Administration and Operation. Code §§ 14132 (t), 14137. HCBS programs address the needs of people with functional limitations who need assistance with everyday activities, like getting dressed or bathing. HCBS. 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. Prior Authorization Forms Claim Jumper Newsletters. This eligibility applies as long as the person is enrolled in the Waiver. 6, January 2019] Instructions, Technical Guide and Review Criteria . 03/03/2022. Indiana’s initial STP was submitted to CMS. AMHH services are also available for eligible adults with both. A federal government managed website by the Centers for Medicare & Medicaid Services. Healthcare Coordination. Charles St. 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. See More. WASHINGTON STREET, P. 2 See Appendix A - HCBS Solutions presentation dated July 23, 2018 for additional information. HCBS Waiver Nurse Provider – RN and LVN (Individual Nurse Provider) INP Medi-Cal Checklist. Learn how to access the AD Waiver and improve your quality of life. HCBS Rate Review Updates. Click Here for Draft 1915 (c) HCBS Waiver Application. SDS will accept public comment on the proposed waiver amendments until 5:00 pm, Monday, October 9, 2023. m. Home and Community-Based Services Waiver Provider Manual. California currently has six Home and Community-Based Services (HCBS) waivers, including the Home & Community-Based Alternatives (HCBA) Waiver. 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. **HCBS Incident Submission Guidance Manual** Important. Manual FSSA and Gainwell . 8) 9/2014; State Plan Amendment 10/1/20; 1915(b)(4) Waiver Fee-for-Service. 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. 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. Announced on Jan. gov) August 2022. in. Section 4. Individuals must qualify for institutional care and must be enrolled in the IHCP to be eligible for HCBS waiver coverage. All have meaningful access and an equal opportunity to participate in our services, actives, programs and other benefits. 402 W. 1, 2023 Version: 7. Medicaid HCBS. IN. FSSA is pleased to share a rateCMS pays for about 2/3 of the cost of HCBS provided in these waiver programs. 3310. 6 of the DDRS Waiver Manual, Provider Agreement Checklist Form, and data from the 90 day check list. 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). 0210. FSSA and HPE : 1. Waiver. EN. Subject: Reimbursement . Manual FSSA and Gainwell . O. Louisiana Medicaid Eligibility Manual Eligibility Determinations . The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. 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. For any waiver claims that are. Potential provider enrolls with Indiana . 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. Within broad Federal guidelines, States can develop home and community-based services waivers (HCBS Waivers) to meet the needs of people who prefer to get long-term care. gov/fssa/da. 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. Eligibility criteria includes: Age 65 or older. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. 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. Contents. 00. Level of Care (LOC) Level-of-care (LOC) requirements for the A&D and TBI waivers are as follows: %PDF-1. 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. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. South Country Provider Manual Chapter 4 Provider Billing for general billing processes and procedures. To keep getting these federal funds, we have to follow their rules. Accessibility Settings. " Through MI Choice, eligible adults who meet income and asset criteria can. Golden Hoosier Award. DEPARTMENT OF DEVELOPMENTAL SERVICES (DDS)WAIVER SERVICESINDIVIDUAL PRACTITIONER APPLICATION FOR QUALIFIED PROVIDERS. 1. in. Hcbs Waiver Program Provider Manual Indiana - collection. Application for 1915(c) HCBS Waiver: IN. more information on virtual services allowed for HCBS waiver providers under Appendix K authority, see IHCP Bulletin BT202188. A person-centered treatment plan is built upon the member and family's strengths to identify the following: The unique. 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). Policy Number: SDMI HCBS 130 . May 25, 2013 05/13. Community-Based Waiver Provider Manual 4217 The claim was submitted using an invalid provider number (not a waiver provider number). (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. DDRS Home. 03/01/2022. 2 Monitor and revise the Individual Plan as needed 4. Request Information (1 of 3) The State of Hawaii requests approval for a Medicaid home and community-based services (HCBS) waiver under theProvider Information. HCBS Manuals & Forms General Forms PD Applicant Crisis Evaluation (PD-ACE) Form. gov | The Official Website of the State of IndianaThe Indiana Pathways for Aging Program will be a managed long-term services and supports program. The waiver has been approved for a five-year period with an effective date of January 1, 2023 . Sent policy, information, and . FSSA and HPE : 1. Therefore, the Committee recommends: The Legislative Coordinating Council (LCC) consider approving a task. The AD Waiver is a home- and community-based services program for individuals who are aged or disabled and need long-term care. If you don't have a provider, you can search by zip code to find a provider near you. Process for adding temporary services/counties during COVID-19 public health emergency. 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 Model Waiver is an existing waiver designed to delay or prevent institutionalization and allow recipients to maintain stable health while living at home or in their community. The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. Download the pdf to learn more about how. : 20060927-IR-460050119FRA; readopted filed Nov 2, 2012, 8:32 a. IHCP updates. Montana Corrective Action Plan Approval Letter - Approved 09/15/2023. BT202218. Policies and procedures as of July 1, 2019 The Division of Aging (DA) offers two HCBS waiver programs: • Aged andDisabled (A&D) Waiver • Traumatic Brain Injury (TBI) Waiver Information about these two waivers is available on the . Examples of external events are: mechanical; or events that interfere with vital functions. Application for 1915(c) HCBS Waiver: Draft 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. Please see the instruction manual for. Approval of 2023 Waiver Amendment. The following steps outline the basic enrollment process for this provider type. BR202322. WASHINGTON STREET, P. [DDRS] State of Indiana Summer 2016 . 14; mLTSS Tentative Timeline Overview; Milestone Timeframe*state plan HCBS (e. Individuals must meet both HCBS eligibility and Medicaid eligibility guidelines in order to be eligible for BPHC services. Application for a §1915(c) Home and Community-Based Waiver Instructions, Technical Guide and Review Criteria. Waiver service changes The DDRS has. 000 COMMUNITY AND EMPLOYMENT SUPPORTS WAIVER GENERAL INFORMATION 201. and without photos, is available for your convenience. 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. 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. IHCP Model Enrollee. All. Individuals must meet HCBS waiver eligibility and Medicaid eligibility guidelines in order to be eligible for a. New York State Transition & Diversion Waiver (NHTDW) Westchester Independent Living Center (WILC) is the RRDC for NYC and the Lower Hudson Valley for both the NHTD and TBI waivers. 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. Provider Manuals. Sent policy, information, and . We now know it as the MI Choice Waiver Program, or simply, "the waiver. Manuals for managed care entity (MCE) operations and reporting are provided at the links below: Hoosier Healthwise MCE Policies and Procedures Manua l. There are two BDDS/Indiana Medicaid. The Department of Developmental Services (DDS) created this handbook to introduce you to the Home and Community-Based Services (HCBS) waivers. To apply, interested eligible HCBS Aged & Disabled (A&D) Waiver providers should submit the required grant attestation form. • Indiana must follow the to continue to provide HCBS waivers. 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. 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. 2 HCBS Effective Date - The HCBS effective date establishes the date an individual is considered an HCBS recipient. DOH Medicaid Update Website Provides up-to-date changes that may affect your participation in the Medicaid Program. 200 HCBS. 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. Waiver. Additional requirements apply, based on the specific waiver program. gov . 21, 2022. The COVID-19 disaster emergency declared by the Governor under Executive Order 202. 2 See Appendix A - HCBS Solutions presentation dated July 23, 2018 for additional information. 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. vc. 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. Medicaid financial eligibility for individuals receiving waiver services is based on 300% of the Supplemental Security Income (SSI) maximum. By Jan. Home and community based services provide opportunities for Medicaid beneficiaries to receive services in their own home or. BPHC and HCBS comprehensive training 3/8/21; Critical incident. Providers must determine which HCBS program services they want and are qualified to provide. HCBS programs allow members to live in a community setting and avoid institutional placement. Medicaid . In IN, the Medicaid program is also called Indiana Health Coverage Programs (IHCP). 00 - Jul 01, 2020 Page 3 of 118 06/24/2020. Structured Family Caregiving Waiver Rights and Responsibilities . The waiver application consists of the following components. HOME AND COMMUNITY BASED SERVICES . O. – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant members and Package C for children under age 19. 1. Preadmission Screening and Resident Review. 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. 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. 0023. Breadcrumbs. the re-classification of the intervention as seclusion which is a prohibited intervention for HCBS Waiver Participants. Consolidated Waiver A person of any age who has aIN Family Supports Waiver (0387. 291818717@t. Chapter 3300 . 00. U7=Waiver; RP=Replacement . 00. The requirements for State Burial Assistance under the Medicaid program are also included. 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. Potential provider enrolls with Indiana . This instructional guide applies to the following 1915(c) HCBS waivers: • Acquired Brain Injury (ABI) • Acquired Brain Injury Long Term Care (ABI-LTC). Application for 1915(c) HCBS Waiver: MD. Document Management Verfahren Reference: FROM HCBS Waiver Provider Manual. ADRC Information, Referral and Assistance ADRC Information Referral Assistance Fillable. specific areas in which Indiana showed noncompliance with HCBS requirements. 00. T2029 . 10, 2022, FSSA made available $173 million of Indiana’s HCBS enhanced FMAP funding, provided by Section 9817 of the American Rescue Plan Act, as HCBS Stabilization Grants. including HCBS, demographics, budget, and other challenges in the provision of LTSS to Hoosiers. pdf. Washington St. 281. 1915(b) and (c) combination waiver for HCBS services and for managed care. Is not already receiving Medicaid benefits. Once all documentation and forms are received by the Division of Aging, the Waiver Provider Analyst will review your Provider Application packet. Notify potential provider of denial. 00 HOOSIER HEALTHWISE (MED 3) Updated MA 15. 007. Use the HCBS Programs Service Request Form (DHS-6638). DDRS HCBS Waivers Revision History . An HCBS waiver is an extra set of Health First Colorado (Colorado's Medicaid program) benefits that you could qualify for in certain cases. Application for 1915(c) HCBS Waiver: Draft IN. Are certified by the state to qualify for nursing home level of care. Indiana. Traumatic brain injury means a sudden insult. Florida Medicaid . This pdf document contains detailed information about the waiver, such as eligibility criteria, covered services, provider qualifications, and quality assurance. WASHINGTON STREET, P. In addition, each HCBS Waiver has non-financial eligibility requirements. To keep getting these federal funds, we have to follow their rules. If you have questions about this publication, please contact Customer Assistance at 1-800-457-4584. DA Home- and Community-Based Services Waivers. Box 7083. 100 Documentation in Beneficiary’s Case Files 202. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. 1915 (i): Key Provisions for HCBS State Plan Option. 0387. 5 and 4. 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). Approved? NO. 1 Monitoring Plan Implementation 4. To help providers prepare for this requirement, the IHCP has developed a two-page resource with helpful information: Electronic Visit Verification Preparation guide. Indiana Health Coverage Programs. WITS user manual recovery residences ONLY - INARR certified levels 2 & 3 only - October 2019. 25, 2016. Mary G. Personnel Policies and Manuals Rule 16. Welf. This new rule is referred to as the settings rule. Policies will continue to be updated in the coming months, so be sure to check back often. 03/10/2022. Requirement: Provider must have been approved by BDS and OMPP prior to March 1, 2020. •Indiana has about 2% of the U. 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). Agency for Health Care Administration September 2021 . These services are referred to as home and community-based services. Ohio Home Care Waiver Handbook | 6 . 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. HCBS SED Participant Interest Inventory SED Eligibility New. 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 waiversBDDS HCBS provider . 02 - Feb 01, 2020 (as of Feb 01, 2020) Page 5 of 266 01/22/2020. HCBS Waiver Billing • Claims deny if no authorization exists in the database, if the authorization has been exceeded, or if a code other than the approved code is billed. 00), there are certain categories of Medicaid a person must be eligible for in order to receive a Home and Community-Based Services Waiver. 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. Governor Eric J. However, because section 1915(c) waivers must be cost neutral, waiting lists exist for individuals seeking access to waiver services. Box 7083. 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. Components of the Waiver Request The waiver application consists of the following components. California’s six 1915 (c) Waivers are: Waiver Name. 0 Version Date Reason for Revisions Completed By 7. For the purpose of the Medicaid program and as used in this Manual, HCBS Waiver services are defined as follows: Adaptive Technologies . The impacted. Appendix A specifies the administrative and operational structure of this waiver. Additional requirements apply, based on the specific waiver program. We have also explored HCBS waiver capacity and state management of waiting lists and summarized state efforts to address the primary drivers of. Download the. 4. 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. Fee Schedules – HCBS for Adults with Severe Disabling Mental Illness (SDMI) Provider Notices. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. Indiana Family & Social Services Administration 402 W. )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). Indiana is approved to continue reimbursing HIP services at Medicare rates through the end of 2023. 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. 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. States projected spending an average of $606. In your email please provide as much information as you can as to which bulletin. Section 4. 855-673-0193, ext. O. 0183. The Medicaid Home-and Community-Based Services (HCBS) waiver program was authorized under Section 1915 (c) of the Social Security Act. ” The data source was updated and wording modified for clarity. Title: IN HCBS Rate Build-up - Proposed - Public Notice - Final. 00. 1. To be eligible individuals must: Be 19 years of age or older. 00 . 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. 6. The following steps outline the basic enrollment process for this provider type. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. HCBS Waiver Manual; I acknowledge that I have read and understand this document. Applications are also available at local BDDS offices. S. Section 4. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. (HCBS) Waivers to ascertain their. The project team has identified two different options, or paths, for organizing the waivers as part of redesign which are presented below. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. IHCP updates. 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). 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. 201 E. 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. For this purpose, the Department is developing a set of "survey tools" to assess individual settings for home and community-based characteristics. 19,528 to 22,519 members in waiver year 5 (07/01/2017-06/30/2018). 0 CMS pays for about 2/3 of the cost of HCBS provided in these waiver programs. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. 00. Under the authority of Senate Bill (SB) 468 (Chapter 683, Statutes of 2013) and upon CMS approval, DDS will implement the SDP, allowing regional center consumers and their families more freedom,. Purpose. Appendix A. These benefits can help you remain in your home and community. 402 W.