1130 (voice), 914-259-8036 (VP). According to NCI data that Indiana was able to utilize, the State demonstrated non-compliance with several HCBS requirements. 7: Indiana Money Follows the Person (MFP) See full list on in. The Indiana Family and Social Services Administration (FSSA) has extended the deadline for Home- and Community- Based services (HCBS) Provider Readiness Grants to Nov. gov and check back for additional. Fact Sheets Regarding Final Regulation CMS-2249-F/CMS-2296-F. Requirement: Provider must have been approved by BDS and OMPP prior to March 1, 2020. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. • For the I/DD Waiver, CDDOs conduct this assessment. Consumer-Directed Services Worksheet Form/Instructions HCBS-3c 4. 0. 14; mLTSS Tentative Timeline Overview; Milestone Timeframe*state plan HCBS (e. IHCP to cover additional COVID-19 vaccine and administration codes. BT202219. Personnel Policies and Manuals Rule 16. *For children under 18, approved for Medicaid disability and on an HCBS waiver, parent’s income and resources are exempt in the budget. Waiver Administration and Operation. 03/10/2022. Notify potential provider of denial. Policy Number: SDMI HCBS 130 . Indiana Health Coverage Programs Rate Increases – Home- and Community-Based Services Waiver. 3: Initial Level. Program for All-Inclusive Care to the Elderly (PACE) The Program of All-Inclusive Care to the Elderly (PACE) was implemented by the state of Indiana to provide quality community-based care for Indiana Health Coverage Programs (IHCP) members who: Are 55 years old or older. Indiana Family & Social Services Administration 402 W. (IAC) regulations and current Indiana waiver policies regarding incident reporting. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. As of January 2020, the SSI maximum income for a single individual is $783 per month, making Medicaid Waiver financial eligibility $2,349 per month. South Country Provider Manual Chapter 4 Provider Billing for general billing processes and procedures. 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. To apply, interested eligible HCBS Aged & Disabled (A&D) Waiver providers should submit the required grant attestation form. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and. 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. 00 Appendix 2g: In-Home Services Worksheet Form/Instructions HCBS-3a 4. 4. The Iowa Finance Authority provides temporary rental assistance for members who receive services through Medicaid waivers. O. 00. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. Added HCBS waiver to the section. Home and community-based services (HCBS) through the. 7: Indiana Money. IHCP Provider Reference Modules. 00 - Aug 01, 2020 Page 3 of 193 05/01/2020. This waiver will offer the following supports for waiver participants: Behavioral. O. , 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. 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. Capitalizing on and expanding our expedited eligibility. specific areas in which Indiana showed noncompliance with HCBS requirements. Potential provider enrolls with Indiana . Must complete self assessment to be verified by on site survey by DA staff X X X Secretary of State letter authorizing company to do business in the state changes to the HCBS waiver review process. All, Behavioral Health, Hospital, Psych Residential Treatment Facility. 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. (Division of Aging; 455 IAC 2-1-1; filed Sep 1, 2006, 8:20 a. instructions Review letter of intent and references. IHCP to cover additional COVID-19 vaccine and administration codes. Washington St. in. 2 Monitor and revise the Individual Plan as needed 4. BPHC provider module 7/28/2022; BPHC Rule (AC Article 5-21. Employment and Day Supports Waiver. 2. The program permits a state to furnish an array of home and community. 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. Learn more about the eligibility,. in. 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. 6, January 2019] Instructions, Technical Guide and Review Criteria . 100 CES Waiver Services 200. 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. 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. Language Translation. 4197. 018. : 20060927-IR-460050119FRA; readopted filed Nov 2,. Through this program, the state of Kansas is able to provide different services that allow those who need care to receive services in their homes or communities. It explains the eligibility criteria, service definitions, provider qualifications, and quality assurance measures for each waiver. R08. 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. See More. The waiver has been approved for a five-year period with an effective date of January 1, 2023 . 5 and 4. Most Hoosiers want to age at home. Library Reference Number: PROMOD00039 v Published: Feb. Chapter 3300 . BT202218. Components of the Waiver Request The waiver application consists of the following components. 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. Section 1915(c) of the Social Security Act authorizes the Secretary of Health and Human Services to waive certain. integrated 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). 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. See IHCPPM 3315. Of these, 218 waivers reported providing one or more PCS. 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. State of Indiana Division of Disability and Rehabilitative Services 402 W. We use this guidance, in the form of. For example, a person with none of the HCBS Settings Rule outcomes present is expected to visit the emergency room an average of 1. WASHINGTON STREET, P. Florida Medicaid . Type of Request: Renewal. Persons with Disabilities waiver. 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. Examples of external events are: mechanical; or events that interfere with vital functions. AMHH services are also available for eligible adults with both. -QMBAlso coverage without HCBS waiver or End-Stage Renal Disease (ESRD) liability:. • ***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. This instructional guide applies to the following 1915(c) HCBS waivers: • Acquired Brain Injury (ABI) • Acquired Brain Injury Long Term Care (ABI-LTC). In addition, Rhode Island’s latest Section 1115 waiver renewal requires the state to transition HCBS authorized under Section 1115 to a Section 1915 (c) waiver or Section 1915 (i) state plan. Date Revised: March 31, 2023 . Download the. Indiana Family to Family also has fact sheets available on these programs. 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. Many HCBS Medicaid waiver providers who provide services on the Family Support Waiver and Community Integration and Habilitation waiver are not practitioners providers as defined in SEA 3 and SEA 284. • Indiana must follow the to continue to provide HCBS waivers. P. to Hoosiers in need in order to enable them to achieve healthy, self-sufficient and productive lives. Montana Corrective Action Plan Approval Letter - Approved 09/15/2023. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. Join with a video conferencing device. 6767) eric. 21, 2022. 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. 615 N. 000 governs the provision of services under the Acquired Brain Injury Home- and Community-based Services Waivers (ABI Waivers) and the Moving Forward Plan Home- and Community-based Services Waivers (MFP. This pdf document contains detailed information about the waiver, such as eligibility criteria, covered services, provider qualifications, and quality assurance. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. 00) Waiver Authority 1915 (c)Application for 1915(c) HCBS Waiver: Draft . m. Home and community-based services (HCBS) through the. BR202322. R06. Level of Care (LOC) Level-of-care (LOC) requirements for the A&D and TBI waivers are as follows: Centers for Medicare & Medicaid Services. Notify potential provider of denial. co. 1 Monitoring Plan Implementation 4. eligible for an HCBS Waiver. 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. Section 4. 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. R03. Traumatic brain injury means a sudden insult. We now know it as the MI Choice Waiver Program, or simply, "the waiver. Added the first Preliminary Transition Plan to ensure that the HCBS programs offered by the state of Indiana comport to CMS’ final rule on HCBS settings (CMS-2249 and CMS-2296, published January 16, 2014). If approved, you will then be directed to download your Indiana Health Coverage Programs Waiver Billing Provider Application and Profile Maintenance packet through HP. To apply, submit the attestation form by 5:00 p. 3 This increase is consistent with the average. All. in the HCBS waiver and the Business and Professions Code, Section 4996. Appendix A specifies the administrative and operational structure of this waiver. ” The data source was updated and wording modified for clarity. State of Indiana Division of Disability and Rehabilitative Services 402 W. Requires assistance with at least three activities of daily living. (HCBS) waiver under the authority of §1915(c) of the Social Security Act (the Act). 7,533 7. Policies will continue to be updated in the coming months, so be sure to check back often. Required Warranties. 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. These services are provided to adults with a serious mental illness who reside in a HCBS setting and may benefit from AMHH services to live a safer lifestyle. In addition, each HCBS Waiver has non-financial eligibility requirements. Request Information (1 of 3) A. An official website of the Indiana State Government. Medicaid Billing Reminders for Home and Community Based Services (HCBS) Waiver Providers Posted March 29, 2021 (Updated April 21, 2021*) *Please note: The content below regarding Illinois Medicaid HCBS Billing Waiver – Electronic Claim Submission has been updated to include an important note regarding Atypical provider registration. 0 . If this agreement is ever found to be in conflict with the New Choices. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. 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. 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. General information about waivers in Indiana can be found on the state’s HCBS Waiver Page. 03 - Jul 01, 2022 (as of Jul 01, 2022) Page 2 of 259 06/03/2022. HIP is for individuals aged 19 to 64. Breadcrumbs. : A printed copy of the waiver application and special accommodations (i. HCBS Setting Characteristics (42 CFR 441. Updated: August 1, 2021 • See any files or records related to your health care • Be informed about how to report concerns with your case manager, services or providers to the Ohio Department of Medicaid You and your authorized representative (if applicable) direct your waiver services. 00. Individuals and their families may find additional information courtesy of the Indiana DDRS HCBS waivers provider reference module (September 2022) Webinars. iv Library Reference Number: PRPR10014 Published: December 8, 2020 Policies and procedures as of July 16, 2020 Version: 8. 00 – 3380. as of Oct. 6 %âãÏÓ 8439 0 obj > endobj 8453 0 obj >/Filter/FlateDecode/ID[38A9FAC2F20EED4E85BDDF24DEF6C92D>2A7F337685EBCB45BA711FC4CD8A1F29>]/Index[8439 25]/Info 8438. 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. ca. 7500 Security Boulevard Baltimore, MD 21244. To keep getting these federal funds, we have to follow their rules. page of the DA website at in. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and. These benefits can help you remain in your home and community. 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. gov, with the subject line DDRS Bulletin. O. 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. 0 Page 4 of 80 The administrative structure for California’s HCBS Waivers places responsibility for quality assurance and monitoring at all three levels. 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. DA Home- and Community-Based Services Waivers. The guide covers topics such as eligibility, benefits, enrollment, appeals, and contacts for Medicaid, SNAP, TANF, and other FSSA programs. (HCBS) waivers with DOS on or after July 1, 2023. Video Conference ID: 113 496 800 4. 02 - Feb 01, 2020 (as of Feb 01, 2020) Page 5 of 266 01/22/2020. DDS offers three main HCBS waivers for adults with Intellectual Disability, including the Adult Supports Waiver, Community Living Waiver, and Intensive Supports Waiver. Within 15 calendar days . DA Home- and Community-Based Services Waivers. application. 1915 (i): Key Provisions for HCBS State Plan Option. Waiver Administration and Operation. 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. Additionally, case managers and waiver providers will assist waiver participants in developing a plan to continuethis waiver renewal. including HCBS, demographics, budget, and other challenges in the provision of LTSS to Hoosiers. IHCP announces spring/summer HCBS business acumen training schedule. 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. Note: Item 3-E must be completed. 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. 00 . Requested Approval Period: (For new waivers requesting five year approval periods, the waiver must serve. To provide further information a webinar explaining the deadlines was held on September 28, 2017. Home and Community-Based Services Waiver Provider Manual. MCE Reporting Manual. 00 – 3047. COVERAGE AND LIMITATIONS HANDBOOK. gov . 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. Figure 7 of this manual provides a breakdown of each 1915(c) HCBS waiver and the responsible regulating agency. gov. Purpose. Application for 1915(c) HCBS Waiver: IN. Waiver service changes The DDRS has. 006. 0 Version Date Reason for Revisions Completed By 7. 000 Overview 201. 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,. Ohio Home Care Waiver Handbook | 6 . B. govIndiana Medicaid offers coverage for the Child Mental Health Wraparound (CMHW) home and community-based services (HCBS). 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. 05/30/2023. 1 renumbered “5. The Division of Disability and Rehabilitative Services manages the delivery of services to children and adults with intellectual and developmental disabilities. By Jan. R01. YES. Indiana’s initial STP was submitted to CMS. 1. 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. 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. Are certified by the state to qualify for nursing home level of care. Recently, CMS has employed a more rigorous process during its review of waiver applications and programs to assure that states are in compliance with CMS guidance that, “Rate setting methodology must be reviewed, and. instructions Review letter of intent and references. We would like to show you a description here but the site won’t allow us. Mary G. HCBS waiver or Money Follows the Person (MFP) demonstration grant, including the following:. Subject: Reimbursement . 0 CMS pays for about 2/3 of the cost of HCBS provided in these waiver programs. xlsx Author: Ben. FSSA and HPE : 1. HCBS Quality; Home & Community Based Services Authorities; HCBS Training;. Indiana Health Coverage Programs HCBS Waiver Audit Process, Recoupment, and Appeals BT200412 June 11, 2004 EDS Page 2 of 6. About. 2 Periodic Review of the Plan IP. Email inquiries can be sent to: ProFacWAIVER@dhcs. HCBS waiver or Money Follows the Person (MFP) demonstration grant, including the following:. m. Eligibility criteria includes: Age 65 or older. gov. : 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. Process for adding temporary services/counties during COVID-19 public health emergency. 3, B. , Room W454, MS 21. Overview . 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. 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. please email backhome. 13 Agreement with the Individual Plan 4. An individual cannot be enrolled in two HCBS waiver programs at the same time. 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. 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. provider’s operations manual. IHCP to cover additional COVID-19 vaccine and administration codes. 00. What are Home- and Community-Based Medicaid Waivers? BDDS offers two home- and community-based Medicaid waivers, known as the Community. All. Requirement: Provider must have been approved by BDS and OMPP prior to March 1, 2020. 2. Individuals wishing to apply for Expedited Waiver Eligibility must be eligible for Medicaid and the A&D waiver. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. Indiana. The waiver’s purpose is to provide medically necessary services to. If you don't have a provider, you can search by zip code to find a provider near you. Code §§ 14132 (t), 14137. Waiver redesign update and feedback sessions (08/03/2022) BDDS monthly webinar for providers and case managers (7/19/2022) Provider emergency plan policy (7/18/2022) HCBS Final Rule Non-Residential Transition Plan Implementation follow up (6/21/2022) HCBS Innovation Pilot Projects application period now open (6/17/2022)Indiana’s waiver program rate methodology updates to date have been generally ad hoc and targeted for specific services. 00 Appendix 2e 4. P. Applicants must have qualifying scores on standard assessments and be at risk for inpatient. 5 and 4. WASHINGTON STREET, P. Indiana offers eight Medicaid Home- and Community-Based Services programs that target specific groups. 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. individuals who are dually eligible for Medicaid and. 7: Indiana Money Follows the Person (MFP) DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. Ombudsman. Target Population. Alabama St. 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 . 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. 05/30/2023. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. 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. 25, 2016. in. 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. 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). 402 W. 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. Approved? NO. Homemaker. 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. , beneficiaries diagnosed. These services are provided to youth, ages 6-17, who have a diagnosis of a serious emotional disturbance. To register or re-register to receive all DDRS updates click here. 4. Medicaid. 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. WASHINGTON STREET, P. O. HCBS Waiver Nurse Provider – RN and LVN (Individual Nurse Provider) INP Medi-Cal Checklist. The Healthy Indiana Plan (HIP) is a demonstration waiver approved under Section 1115(a) of the Social Security Act effective January 1, 2008, and it was authorized to continue through January. Request Information (1 of 3) The State of Hawaii requests approval for a Medicaid home and community-based services (HCBS) waiver under theProvider Information. Financial Eligibility • Looks at an individual’s eligibility for KanCare to pay for an individual’s services. Individuals must meet HCBS waiver eligibility and Medicaid eligibility guidelines in order to be eligible for a. Summary of Key Provisions of the HCBS Settings Final Rule. 0387. Indiana (5) Official Program Name IN Traumatic Brain Injury (4197. Structured Family Caregiving Waiver Rights and Responsibilities . Healthcare Coordination. Indiana Health Coverage Programs. 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. 201 E. HCBS Rate Review Updates. The Family and Social Services. a person claiming to be disabled, who is not in an institution or approved for HCBS. All have meaningful access and an equal opportunity to participate in our services, actives, programs and other benefits. 00. m. Children’s HCBS Waiver Overview Cont. DDRS HCBS waivers provider reference module (September 2022) Webinars. Manuals. Current professional and personal liability insurance policy to cover:. Help@fssa. 11 HCBS Re-Determination 4. 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. m. Contents. gov. indiana@fssa. HOME AND COMMUNITY BASED SERVICES . **HCBS Incident Submission Guidance Manual** Important. Additional requirements apply, based on the specific waiver program. 2 See Appendix A - HCBS Solutions presentation dated July 23, 2018 for additional information. indiana@fssa. Box 7083. An HCBS waiver is an extra set of Health First Colorado (Colorado's Medicaid program) benefits that you could qualify for in certain cases. DDRS will rely on case managers and waiver providers as front-line contacts for addressing concerns of waiver participants (and family members). Application for 1915(c) HCBS Waiver: Draft IN. Learn more about the eligibility, application, and benefits of this. 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). Accessibility Settings. The eligibility review process starts at one of OPWDD's five Developmental Disability Regional Offices (DDROs). , personal care) are optional services that states can choose to cover. and without photos, is available for your convenience. 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. Box 7083. Individuals and their families may find additional information courtesy of the Indiana Governor’s Council for People. Consolidated Waiver A person of any age who has aIN Family Supports Waiver (0387. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. Adult Protective Services State Hotline: 800-992-6978; Child Protective Services State Hotline: 800. 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. Over three-quarters of HCBS waivers apply the federal SSI asset limit of $2,000 for an individual, and almost all waivers use the same asset limit as is required for institutional care. Case Management Rule 18. provided through the HCBS Waiver. It also includes. This pdf document provides an overview of the Home and Community-Based Services (HCBS) Waivers offered by the Division of Disability and Rehabilitative Services (DDRS) in Indiana. California currently has six Home and Community-Based Services (HCBS) waivers, including the Home & Community-Based Alternatives (HCBA) Waiver. 21, 2022. 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). Findings revealed HCBS waivers projected serving approximately 565,000 participants per year. WASHINGTON STREET, P. The IHCP encourages providers to reference all resources to ensure claims are. Adult Day Health Care (ADHC) The ADHC waiver covers direct care provided in. in. " Through MI Choice, eligible adults who meet income and asset criteria can. Contents. This new rule is referred to as the settings rule. 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. Chapter 3300 . • 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). or transport through use of manual restraint; Braces, helmets, splints for behavior control. Skip Navigation Heading, go to main content Top of Page.