If you would like information from an archived DDRS Bulletin, please send your request to the BQIS Help email at BQIS. The information in this module applies to Indiana Health Coverage Programs (IHCP) services provided under the fee-for-service. HCBS Rate Review Updates. Louisiana Medicaid Eligibility Manual Eligibility Determinations . Indiana Health Coverage Programs Waiver Provider. ca. For the purpose of the Medicaid program and as used in this Manual, HCBS Waiver services are defined as follows: Adaptive Technologies . 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. An Introduction to Indiana's Medicaid Waiver Program. integrated settings. 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 CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings. 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. Requirement: Provider must have been approved by BDS and OMPP prior to March 1, 2020. BDDS is committed to ensuring Medicaid Waivers assist individuals in achieving their vision of a good life. 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. About. To help providers prepare for this requirement, the IHCP has developed a two-page resource with helpful information: Electronic Visit Verification Preparation guide. in. 01 - Jul 01, 2019 (as of Jul 01, 2019) Page 6 of 402 06/17/2019 The Community Pathways Waiver is designed to provide support services to individuals and their families, to enableHCBS flexibilities for Habilitation to continue six months post-PHE to align with the HCBS waiver flexibility unwind. Indiana 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. 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). This pdf document contains detailed information about the waiver, such as eligibility criteria, covered services, provider qualifications, and quality assurance. 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. 05/30/2023. 00 – 3380. 1, 2023 Version: 7. of receipt. 200 HCBS. Check these resources for more information on funding for HCBS:One program run by Michigan Medicaid is the MI Choice Waiver Program. 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. 8) 9/2014; State Plan Amendment 10/1/20; 1915(b)(4) Waiver Fee-for-Service. Services Waivers Manual Transmittal Letter HCBS-5 Date 06/01/2022 630. This new rule is referred to as the settings rule. DHCS has principal responsibility for ensuring that the design and operation of the Waivers areThe HCBS Stabilization Grants were designed to provide immediate stabilization to Indiana’s workforce and community-based provider network. HCBS Consolidated Waiver Operations Manual - v - 4. Transportation to an adult day care. 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. Library Reference Number: PROMOD00039 v Published: Feb. A person-centered treatment plan is built upon the member and family's strengths to identify the following: The unique. YES. The guide also includes links to IHCP companion guides and other useful. Case Management Rule 18. Achieving the full intent of the HCBS rule with an emphasis on choices, access, and an array of options will require long term transformational systems change, including a redesign of Indiana’s HCBS delivery system and waivers. Reimbursement: an evaluation of rates and rate methodology. To keep getting these federal funds, we have to follow their rules. IHCP to cover additional COVID-19 vaccine and administration codes. 3310. 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. Summary of Key Provisions of the HCBS Settings Final Rule. m. guidelines, policies and/or manuals, including policies, written agreements and the HCBS Waivers Provider Reference Module on the IHCP Provider Reference Materials webpage; o Ensure case managers meet with waiver individuals on a regular basis or as requested by the individual to develop, update, and support the execution of person-centered The Aged and Disabled waiver is a program that provides home and community-based services to eligible individuals who need nursing facility level of care. 00 - Jan 31, 2024 Page 3 of 332 09/01/2023. 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). 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,. 00 Appendix 2e 4. Manuals: Nuon . Section 4. T2029 . 0210. by the Indiana state department of health (ISDH) shall be deemed approved for those licensed. In IN, the Medicaid program is also called Indiana Health Coverage Programs. Indiana Health Coverage Programs. 1130 (voice), 914-259-8036 (VP). HCBS waiver or Money Follows the Person (MFP) demonstration grant, including the following:. 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. rates for a period of time and allows Indiana a runway to transition to a new fee schedule that will meet federal regulations. Home- and Community-Based Services (HCBS) are types of person-centered care delivered in the home and community. 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. All. 1, 2015 Published: Feb. Indiana’s Aged & Disabled Waiver is a 1915(c) Home and Community Based Services (HCBS) Medicaid Waiver. Manuals and Instructions for Lego products. 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. 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. 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. Target Population. 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. 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. The waiver’s purpose is to provide medically necessary services to. The Indiana Division of Disability and Rehabilitative Services (DDRS) provides an amendment to the Community Integration and Habilitation (CIH) Waiver, effective from January 1, 2022. HIP is for individuals aged 19 to 64. 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. A federal government managed website by the Centers for Medicare & Medicaid Services. please email backhome. 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. Note: Item 3-E must be completed. It is the authorized reference document for Indiana Medicaid HCBS Waiver service. Approved? NO. • Healthy Indiana Plan (HIP) – an affordable healthcare program created by the state of Indiana to cover adults ages 19 to 64 whose income is up to 138% of the Federal Poverty Level (FPL). Program Title: Home and Community Based Alternatives Waiver . Section 1915(c) of the Social Security Act authorizes the Secretary of Health and Human Services to waive certain. WASHINGTON STREET, ROOM W453 INDIANAPOLIS, INDIANA 46204-2739INDIANA HEALTH COVERAGE PROGRAMS BR201510 MARCH 10, 2015 Medicaid Rehabilitation Option (MRO) diagnosis codes updated All Indiana Health Coverage Programs (IHCP) members who demonstrate a behavioral health need are eligible for clinic op-tion services (405 IAC 5-20-8). Welf. Providers should also understand and comply with national guidelines for proper billing. R03. Traumatic brain injury means a sudden insult. co. 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. BOX 7083 INDIANAPOLIS, IN 46207-7083 1-800-545-7763 DDRS Home and Community-Based Service Waiver Rate Methodology Project Update You are invited to a DDRS HCBS Waiver Rate Methodology update. HCBS Rate Review Updates. 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. 1. Note: Item 3-E must be completed. HOME AND COMMUNITY BASED SERVICES . 3305. P. Live-in Companion. Indiana applies for permission to offer Medicaid Waivers from the Centers for Medicare and Medicaid Services. Phone: 765-288-6516. integrated settings. Code §§ 14132 (t), 14137. 0 CMS pays for about 2/3 of the cost of HCBS provided in these waiver programs. in. The rest of the chapter is divided into sections on the individual HCBS waivers, and the policies and procedures that are unique to each waiver. 201 E. Authority for the Division of DD waivers is the result of a federal law enacted by Congress in 1981 thatIndiana Health Coverage Program Policy Manual Chapter 3000 ELIGIBILITY STANDARDS Sections 3000. 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). DDRS Waiver Manual Our Mission: To develop, finance and compassionately administer programs to. Indiana is approved to continue reimbursing HIP services at Medicare rates through the end of 2023. WASHINGTON STREET, P. BT202219. Home. This new rule is referred to as the settings rule. 0. Revisions to the affected subsection(s) of these component(s) are being submitted DDRS HCBS Waivers vi Library Reference Number: PRPR10014 Published: June 29, 2023 Policies and procedures as of June 1, 2023 Version: 10. Language Translation. : 20060927-IR-460050119FRA; readopted filed Nov 2, 2012, 8:32 a. Level of Care (LOC) Level-of-care (LOC) requirements for the A&D and TBI waivers are as follows: %PDF-1. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. Application for a §1915(c) Home and Community-Based Services Waiver 1. Final regulations for HCBS provided under Medicaid’s 1915 (c), 1915 (i) and 1915 (k) authorities. AMHH services are also available for eligible adults with both. 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. • Indiana must follow the to continue to provide HCBS waivers. Examples of external events are: mechanical; or events that interfere with vital functions. Once all documentation and forms are received by the Division of Aging, the Waiver Provider Analyst will review your Provider Application packet. Traumatic brain injury means a sudden insult. 4197. 100 CES Waiver Services 200. The policy of HCBS Provider is to ensureReceipt of HCBS To be eligible for the HCBS waiver group, an individual must be able to receive HCBS under an approved 1915(c) waiver. The 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. FSSA and HPE : 1. Capitalizing on and expanding our expedited eligibility. Waiver. See Section 5. MASI, MA A, MA B, MA D, MADW, or MADI. 04. Use of an EVV system to document home health services will be required for dates of service on or after Jan. HF 275 – Home- and Community-Based Services, Intellectual Disability Waiver Modifications (LSB1435HV) Staff Contact: Eric Richardson (515. application. gov. DARMHA/WITS user manual - DMHA certified providers - July 2021. 000 Overview 201. Indiana Health Coverage Programs Rate Increases – Home- and Community-Based Services Waiver. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. 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. 010. Release Date:Indiana Medicaid offers coverage for Adult Mental Health Habilitation (AMHH) home- and community-based services (HCBS). Case manager resources. 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 more about the eligibility,. Issued June 08, 2021 Page 1 of H-900. 2 Agenda. For Traditional Medicaid Members: Use our provider search to determine whether your current provider participates in the Medicaid program. 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. HCBS Waiver applicants. 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. Consumer-Directed Services Worksheet Form/Instructions HCBS-3c 4. DETAILED POLICY STATEMENT: 1. <br /> Section 4. Application for 1915(c) HCBS Waiver: CA. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. 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). We would like to show you a description here but the site won’t allow us. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. We have also explored HCBS waiver capacity and state management of waiting lists and summarized state efforts to address the primary drivers of. To apply, submit the attestation form by 5:00 p. 0183. 00 - Jul 01, 2024 Page 4 of 279Indiana Health Coverage Program Policy Manual . 00 - Aug 01, 2020 Page 3 of 193 05/01/2020. 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. 00. 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. 018. DDRS HCBS waivers provider reference module (September 2022) Webinars. 3. Email HCPF_HCBSWaivers@state. xlsx Author: Ben. U7 . Individuals and their families may find additional information courtesy of the Indiana DDRS HCBS waivers provider reference module (September 2022) Webinars. The amendment includes changes to the waiver services, rates, and policies. 00. Providers must determine which HCBS program services they want and are qualified to provide. Services include: Adult day care. 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). Persons with Brain Injury waiver. •Indiana has about 2% of the U. (IAC) regulations and current Indiana waiver policies regarding incident reporting. 00. This pdf document provides detailed information about the AD Waiver, including eligibility criteria, services offered, cost sharing, and application process. : A printed copy of the waiver application and special accommodations (i. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. IHCP to cover additional COVID-19 vaccine and administration codes. Indiana (5) Official Program Name IN Traumatic Brain Injury (4197. The revised Program Manual is dedicated to all participants of the past, present and future,Application for 1915(c) HCBS Waiver: Draft CA. : 20060927-IR-460050119FRA; readopted filed Nov 2, 2012, 8:32. A. See Section 5. g. 1, 2024. 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. O. 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. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and. 03/03/2022. Medicaid Home- and Community-Based Services. HCBS Quality; Home & Community Based Services Authorities; HCBS Training;. The categories are the following: MED 1 Categories. 006. vc. ADRC Information, Referral and Assistance ADRC Information Referral Assistance Fillable. in. Type of Request: amendment The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. Home and Community-Based Services Waiver Provider Manual. Additional requirements apply, based on the specific waiver program. 455 IAC 2. 301(c)(4). All. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. 6 Application for a §1915(c) Home and Community-Based Services (HCBS) Waiver, released January 2019. 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). us. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. Montana Corrective Action Plan Approval Letter - Approved 09/15/2023. Refer to the New Choices Waiver Provider Manual for updates. Table 1 – Amended rates for A&D Waiver and MFP-A&D assisted living services effective for DOS on or after June 30, 2017 For more details, see the A&D Waiver amendment application on the FSSA website at in. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023 Policies and procedures as of June 1, 2023 Version: 10. December 18, 2019. – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant members and Package C for children under age 19. Healthy Indiana Plan MCE Policies and Procedures Manual. BR202322. 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. R06. The following steps outline the basic enrollment process for this provider type. 1 Monitoring Plan Implementation 4. 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. as of Oct. R07. m. • ***NOTE: Individuals who have Medicaid do not need to be enrolled in the HCBS Waiver in order to receive OPWDD services, however OPWDD does need to determine them "eligible" for OPWDD services. DEPARTMENT OF DEVELOPMENTAL SERVICES (DDS)WAIVER SERVICESINDIVIDUAL PRACTITIONER APPLICATION FOR QUALIFIED PROVIDERS. Policies will continue to be updated in the coming months, so be sure to check back often. gov . Please note that providers that were awarded the. Additionally, case managers and waiver providers will assist waiver participants in developing a plan to continuethis waiver renewal. Alabama St. gov, with the subject line DDRS Bulletin. Additional requirements apply, based on the specific waiver program. 00 Annual. BT202217. 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. Training topic categories are listed below which. Indiana Family to Family also has fact sheets available on these programs. ASSESSMENT OF HCBS REQUIREMENTS: REVIEW OF INDIANA’s STANDRADS, RULES, REGULATIONS, and REQUIREMENTS Start Date: 9/2014 End Date: 10/2014-Completed. • If an individual is approved for a HCBS Waiver, KanCare looks only at the income and assets of the person who will receive services. You can find out more online or by calling 1-877-GET-HIP9 (1-877-438-4479). All. Program of All-Inclusive Care for the Elderly. -QMBAlso coverage without HCBS waiver or End-Stage Renal Disease (ESRD) liability:. gov/fssa (FSSA Home > Aging Services > Aging Home > Medicaid HCBS). Eastern Time on Oct. 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. 0210. Mori Created Date: 4/23/2020 7:59:25 AMguidelines, policies and/or manuals, including policies, written agreements and the HCBS Waivers Provider Reference Module on the IHCP Provider Reference Materials webpage; o Ensure case managers meet with waiver individuals on a regular basis or as requested by the individual to develop, update, and support the execution of person-centeredIHCP Medicaid, 1915(c) HCBS waiver and 1915(i) HCBS benefit plan and service combinations. Personnel Policies and Manuals Rule 16. 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. Manuals for managed care entity (MCE) operations and reporting are provided at the links below: Hoosier Healthwise MCE Policies and Procedures Manua l. Waiver Administration and Operation. in the HCBS waiver and the Business and Professions Code, Section 4996. R03. and without photos, is available for your convenience. 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 Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. iv Library Reference Number: PRPR10014 Published: December 8, 2020 Policies and procedures as of July 16, 2020 Version: 8. Under section 1332(b) of the ACA, the Secretary of HHS and the Secretary of the Treasury (collectively, the Secretaries) may exercise their discretion to approve a. Monthly newsletter. please email backhome. Personal emergency response system. 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. A federal government managed website by the Centers for Medicare & Medicaid Services. 12 to discuss general system use. 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. collection. Most Hoosiers want to age at home. Opting to implement the service via a stand-alone waiver is enabling Missouri to test the risks and benefits of paying legally responsible family members to provide personal and home health services to waiver participants on a small scale by offering the option to those they feel will benefit most from the option (i. This pdf document provides detailed information about the AD Waiver, including eligibility criteria, services offered, cost sharing, and application process. Contents. To apply, interested eligible HCBS Aged & Disabled (A&D) Waiver providers should submit the required grant attestation form. The Aged and Disabled (A&D) Waiver provides services to Medicaid-eligible persons age 65 and older and persons of all ages who have a substantial disability who would. 0 Version Date Reason for Revisions Completed By 7. 6 of the DDRS Waiver Manual, Provider Agreement Checklist Form, and data from the 90 day check list. 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. , beneficiaries diagnosed. Training on the SED waiver eligibility is available on the KDADS website through HCBS SED Waiver Eligibility Process Training - KDADS and KDHE. R04. Fact Sheets Regarding Final Regulation CMS-2249-F/CMS-2296-F. Coordination, Child Mental Health Wraparound, or any HCBS waiver or MFP plan. instructions Review letter of intent and references. 20. 3310. 323 of the 1915(c) technical guidance, PCS are defined as:. Adult Protective Services State Hotline: 800-992-6978; Child Protective Services State Hotline: 800. Individuals must qualify for institutional care and must be enrolled in the IHCP to be eligible for HCBS waiver coverage. HCBS. e. 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. Form, Part 4. eligible for an HCBS Waiver. n/docs/hcbs_manual. Manuals. In Indiana, the HCBS Waiver is called the Aged and Disabled (A&D) Waiver. Sent policy, information, and . (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. O. BT202218. DA Home- and Community-Based Services Waivers. 0 Version Date Reason for Revisions Completed By 7. In your email please provide as much information as you can as to which bulletin. 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). WASHINGTON STREET, P. (HCBS) waiver under the authority of §1915(c) of the Social Security Act (the Act). 00 - Jul 01, 2020 Page 3 of 118 06/24/2020. 402 W. Indiana 211 Indiana 211State of Indiana Division of Disability and Rehabilitative Services 402 W. provider application. As of June 30, 2020, there were 253 active 1915(c) HCBS waivers. Program Title (optional - this title will be used to locate this waiver in the finder): Traumatic Brain Injury Waiver B. 4. Manual FSSA and Gainwell . A printed copy of the waiver application and special accommodations (i. An application for Medicaid Waiver services can be made online at BDDS Gateway. All have meaningful access and an equal opportunity to participate in our services, actives, programs and other benefits. EN. X X X X X X X X X Service specific survey or certification tool if applicable. 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. Medical Equip . 0 . This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and. R06. ASSESSMENT OF HCBS REQUIREMENTS: REVIEW OF INDIANA’s STANDRADS, RULES, REGULATIONS, and REQUIREMENTS Start Date: 9/2014 End Date: 10/2014-Completed. a person claiming to be disabled, who is not in an institution or approved for HCBS. 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. Eligibility for HCBS Waiver Services . activities that need to happen when HCBS waivers are administered. If you need accommodation to. Phone Conference ID: 232 465 800#. The program permits a State to furnish an array of home and community-based services that assist Medicaid beneficiaries to live in theMissouri Division of Developmental Disabilities Targeted Case Management (TCM), Home and Community Based Waiver Services (HCBS), and Preadmission Screening and Resident Review (PASRR) – Nursing Home Reform are federal programs administered by the Centers for Medicare and Medicaid Services (CMS). specifies the administrative and operational structure of this waiver. Qualified providers must meet the standards established in the Department of Developmental Services (DDS) Home and Community Based Services Waiver. specific areas in which Indiana showed noncompliance with HCBS requirements. COVERAGE AND LIMITATIONS HANDBOOK. HCBS Setting Characteristics (42 CFR 441. DARMHA required data manual - September 2018 - explains the required data entry for DARMHA. 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. Download Teams | Join on the web. Waiver Redesign . 6. indiana@fssa. Washington St. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. 03 - May 26, 2020 (as of May 26, 2020) Page 5 of 274 04/30/2020. 3, 2023 Policies and procedures as of Sept. DDS offers three main HCBS waivers for adults with Intellectual Disability, including the Adult Supports Waiver, Community Living Waiver, and Intensive Supports Waiver. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. : 20060927-IR-460050119FRA; readopted filed Nov 2,. e. Maintenance of Records of Services Provided Rule 17. A. 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. (HCBS) Waivers to ascertain their. DARMHA user manual for RW providers - DMHA certified providers - July 2021. Is every state making the same changes to their HCBS waiver programs? The new HCBS settings rule is a federal rule and every state that receives federal Medicaid funding to are seeking Medicaid coverage prior to having a waiver. Box 7083. APPLICANT INFORMATION: Identify the partnership, corporation, or governmental agency applying to lawfully establish, conduct, and provide service. 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. gov, with the subject line DDRS Bulletin. Waiver Administration and Operation. Video Conference ID: 113 496 800 4. Other Resources. Children’s HCBS Waiver Overview Cont. IHCP Model Enrollee. * 1. 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. (See HCBS waiver manual, Section 1. What HCBS Waivers are affected by the end of the PHE and limited flexibilities for paid parents of minor, dependent children? FSSA operates four 1915(c) HCBS Waivers.