xlsx Author: Ben. 0. Indiana’s CIH waiver serves approximately 20,000 participants throughout the 92 counties. 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). The information in this module applies to Indiana Health Coverage Programs (IHCP) services provided under the fee-for-service. Adult Day Health Care (ADHC) The ADHC waiver covers direct care provided in. 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 . 6767) eric. Policies will continue to be updated in the coming months, so be sure to check back often. Home and Community-Based. 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. A federal government managed website by the Centers for Medicare & Medicaid Services. iv Library Reference Number: PRPR10014 Published: December 8, 2020 Policies and procedures as of July 16, 2020 Version: 8. 1915(b) and (c) combination waiver for HCBS services and for managed care. as of Oct. Instead, the Waiver has a limited number of participant enrollment slots, and when these slots are full, a waitlist for program participation forms. R06. Skip Navigation Heading, go to main content Top of Page. 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. Medicaid HCBS. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023 Policies and procedures as of June 1, 2023 Version: 10. m. 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. We now know it as the MI Choice Waiver Program, or simply, "the waiver. Indiana’s initial STP was submitted to CMS. 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. 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. 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. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. HCBS Waiver Manual; I acknowledge that I have read and understand this document. R04. 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. A person is an HCBS recipient if he or she has been assessed, found in need of long. The New York State Department of Health (NYSDOH) is providing this guidance to Health Homes Serving Children, C-YES, HCBS providers, and MMCP/HIV SNP surrounding the 1915 (c) Home and Community Based Services (HCBS) Children´s Waiver. gov and check back for additional. This resource describes the required steps for providers. 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. Attachment E SED Waiver Annual Evaluation of Level of Care (LOC) Attachment F SED Provisional Plan of Care. WASHINGTON STREET, P. All, Behavioral Health, Hospital, Psych Residential Treatment Facility. Within 15 calendar days . The following chart describes the non -financial eligibility criteria for those HCBS Waivers applicable to individuals with ID and/or autism: HCBS Waiver Key Non-Financial Eligibility Criteria Exclusions . Waiver. Application for 1915(c) HCBS Waiver: Draft IN. There are two BDDS/Indiana Medicaid. The Indiana Medicaid Home and Community Based Services (HCBS) Waiver program provides individualized supports to assist people, of all ages, live successfully in home. 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. service provider qualifications for the relevant service in the waiver document or the Waiver Provider Manual. Hoosier Care Connect MCE Policies and Procedures Manual. The information and direction in this manual replaces all previous waiver manuals. HCBS waiver or Money Follows the Person (MFP) demonstration grant, including the following:. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. Resource guide. 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. in. Ombudsman. The amendment includes changes to the waiver services, rates, and policies. 323 of the 1915(c) technical guidance, PCS are defined as:. 402 W. 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. Learn how to access the AD Waiver and improve your quality of life. provider application. Modules include instructions for submitting IHCP claims and prior authorization (PA) requests, as well as other related topics. 1915 (i): Key Provisions for HCBS State Plan Option. Home and Community-Based Services Waiver Provider Manual. Appendix A specifies the administrative and operational structure of thisIndiana Health Coverage Programs Telehealth and Virtual Services Published: August 29, 2023 2. : 20060927-IR-460050119FRA; readopted filed Nov 2,. Email inquiries can be sent to: ProFacWAIVER@dhcs. The CIH waiver also assists individuals who are transitioning from state-operated facilities or other institutions into community settings. 00 Appendix 2g: In-Home Services Worksheet Form/Instructions HCBS-3a 4. 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. Before submitting an Indiana Health Coverage Programs (IHCP) enrollment application, waiver providers must have Family and Social Services Administration (FSSA) certification. 11-16-2023 IHCP will host webinar to discuss provider notices published during October. O. O. Indiana Family to Family also has fact sheets available on these programs. The program permits a state to furnish an array of home and community. Washington St. Resources. • 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). Contents. 3. Indiana’s Aged & Disabled Waiver is a 1915(c) Home and Community Based Services (HCBS) Medicaid Waiver. 2 Monitor and revise the Individual Plan as needed 4. 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. HCBS Rate Review Updates. Use the HCBS Programs Service Request Form (DHS-6638). Medicaid waiver provider relations Aged & Disabled waiver and traumatic brain injury waiver Phone: 317-232-4650Waivers usually require medical and financial eligibility, but state waiver eligibility requirements may not be exactly the same as state Medicaid eligibility. 00. To apply, submit the attestation form by 5:00 p. Qualified providers must meet the standards established in the Department of Developmental Services (DDS) Home and Community Based Services Waiver. This pdf document provides detailed information about the AD Waiver, including eligibility criteria, services offered, cost sharing, and application process. BR202322. IHCP announces spring/summer HCBS business acumen training schedule. <br /> Section 4. Waiver. 00. See Section 5. An individual cannot be enrolled in two HCBS waiver programs at the same time. 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. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and will be updated on a quarterly basis. 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. QUESTIONS? TO PRINTMassachusetts operates 10 HCBS waivers: Frail Elder Waiver (FEW): This waiver provides frail elders, aged 60 and older, access to the service and supports they need to live successfully in the community. 6 of the DDRS Waiver Manual, Provider Agreement Checklist Form, and data from the 90 day check list. 0013. please email backhome. 3. Twenty-five other states. 7: Indiana Money Follows the Person (MFP) DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. 0183. 9. A. gov, with the subject line DDRS Bulletin. 20. o Children's Consolidated Waiver Services (HCBS) - Rate Summary effective 4/1/2022 Children's Consolidated Waiver Services (HCBS) (ny. Before submitting an Indiana Health Coverage Programs (IHCP) enrollment application, waiver providers must have Family and Social Services Administration (FSSA) certification. 00 Appendix 4 Form and Instructions. Type of Request: Renewal. Maintenance of Records of Services Provided Rule 17. 21, 2022. O. INDIANA HEALTH COVERAGE PROGRAMS BT202359 JUNE 6, 2023 IHCP announces new rates for DA and DDRS waivers, effective July 1, 2023 The Indiana Health Coverage Programs (IHCP) announces, effective July 1, 2023, the Division of Aging (DA) Aged. 1. *When rendering HCBS waiver services through telemedicine, see the billing guidance published in IHCP Bulletin BT202037 and IHCP Banner Page BR202016. Additional requirements apply, based on the specific waiver program. WA. R00. A. Home and community-based services (HCBS) through the. It explains the eligibility criteria, service definitions, provider qualifications, and quality assurance measures for each waiver. of the BAIHS funded HCBS. 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. 0 . 402 W. 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. Indiana Health Coverage Programs Waiver Claims Information BT200021 June 30, 2000 EDS 2 P. To be eligible individuals must: Be 19 years of age or older. BPHC and HCBS comprehensive training 3/8/21; Critical incident. 03/01/2022. Section 4. In your email please provide as much information as you can as to which bulletin. Department of Developmental Services Adult ID Waivers: These waivers provide services and supports to adults with intellectual disabilities so. To be eligible, individuals must: Be aged, blind, or. 7500 Security Boulevard Baltimore, MD 21244. Individuals must qualify for institutional care and must be enrolled in the IHCP to be eligible for HCBS waiver coverage. 000 Documentation Requirements 202. 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. integrated settings. o All children and youth eligible for Children’s Waiver under 1915(c) authority in New York. Severe Disabling Mental Illness. WASHINGTON STREET, P. Holcomb. Title: IN HCBS Rate Build-up - Proposed - Public Notice - Final. Upload manual. 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. Code §§ 14132 (t), 14137. Chapter 3300 . Application for 1915(c) HCBS Waiver: IN. Healthcare Coordination. 615 N. HCBS Waiver. R03. Download Teams | Join on the web. 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. more information on virtual services allowed for HCBS waiver providers under Appendix K authority, see IHCP Bulletin BT202188. The COVID-19 disaster emergency declared by the Governor under Executive Order 202. (see list of counties in RRDC list on DOH website). (IAC) regulations and current Indiana waiver policies regarding incident reporting. Title: IN HCBS Rate Build-up - Proposed - Public Notice - Final. Indiana Health Coverage Programs Rate Increases – Home- and Community-Based Services Waiver. The Department of Developmental Services (DDS) created this handbook to introduce you to the Home and Community-Based Services (HCBS) waivers. Indiana (5) Official Program Name IN Traumatic Brain Injury (4197. 1, 2015 Published: Feb. 04. In Indiana, the HCBS Waiver is called the Aged and Disabled (A&D) Waiver. 03/10/2022. 8) 9/2014; State Plan Amendment 10/1/20; 1915(b)(4) Waiver Fee-for-Service Selective Contracting Program 10/1/18 Below are all services that are approved under Indiana’s Family Supports Waiver as of August 1, 2020: • Adult Day Services • Behavioral Support Services • Case Management • Day Habilitation – (individual and group) • Environmental Modifications (A new service to FS waiver as of 8/1/20 with a $15,000 lifetime cap and $500 per year. R01. An application for Medicaid Waiver services can be made online at BDDS Gateway. 00) Waiver Authority 1915 (c)Application for 1915(c) HCBS Waiver: Draft . HCBS Rate Review Updates. This revised Program Manual reflects these changes and provides further clarification of definitions and scope of the HCBS/TBI waiver services. BT202218. 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. Application for 1915(c) HCBS Waiver: IN. A. Click Here for Draft 1915 (c) HCBS Waiver Application. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. 4. All. Waiver /Rehab or CMS 1500. 00. HCBS 1915(c) Compliance Flowchart : Steps to compliance for HCBS requirements in a 1915(c) waiver and 1915(i). March 1, 2023 2640. 7500 Security Boulevard Baltimore, MD 21244. Children’s HCBS Waiver Overview Cont. States can operate as many HCBS Waivers as they want — currently, about 257 HCBS Waiver programs are active. Is not already receiving Medicaid benefits. to Hoosiers in need in order to enable them to achieve healthy, self-sufficient and productive lives. the re-classification of the intervention as seclusion which is a prohibited intervention for HCBS Waiver Participants. duration to meet the most current Diagnostic and Statistical Manual of Mental Disorders (DSM. R06. Eligibility for HCBS Waiver Services . The Community Integration and Habilitation (CIH) waiver provides services that enable individuals to remain in their homes or community-based settings. application. 0 . instructions Review letter of intent and references. 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. Training on the SED waiver eligibility is available on the KDADS website through HCBS SED Waiver Eligibility Process Training - KDADS and KDHE. Policies and procedures as of Sept. The Home and Community-Based Services final rule and ongoing monitoring; Budget Modification. 05/30/2023. Indiana Family & Social Services Administration 402 W. Fee Schedules – HCBS for Adults with Severe Disabling Mental Illness (SDMI) Provider Notices. 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. 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. 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. brian. 000 COMMUNITY AND EMPLOYMENT SUPPORTS WAIVER GENERAL INFORMATION 201. WASHINGTON STREET, P. 304(e) and (f) and Title 29, Chapter 101 of the Delaware Code, Delaware Health and Social Services (DHSS)/Division of Medicaid and Medical. – the state of Indiana’s Medicaid program, separated into Package A for children and pregnant members and Package C for children under age 19. The Centers for Medicaid and CHIP Services (CMCS) issues technical assistance as part of the state-federal partnership in administering the Medicaid programs. [DDRS] State of Indiana Summer 2016 . Charles St. 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. 2 See Appendix A - HCBS Solutions presentation dated July 23, 2018 for additional information. One must have limited income, limited assets, and a medical need for care. participants and is available to assist all those who administer, manage, and participate in Indiana’s HCBS Waiver programs. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. . (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. If you have questions about this publication, please contact Customer Assistance at 1-800-457-4584. This new rule is referred to as the settings rule. An official website of the Indiana State Government. DDRS HCBS Waivers Revision History . Examples of external events are: mechanical; or events that interfere with vital functions. 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. The waiver covers a range of services, such as respite, transportation, employment, and behavioral support. 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. specific areas in which Indiana showed noncompliance with HCBS requirements. 10. Email HCPF_HCBSWaivers@state. in. Providers must determine which HCBS program services they want and are qualified to provide. 7,533 7. DMHA; About DMHA; Current: Provider Information Provider Information Psychiatric Residential Treatment Facility Transition 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. According to NCI data that Indiana was able to utilize, the State demonstrated non-compliance with several HCBS requirements. Indiana Professional Licensing agency (455 IAC 2-6-3(2)(C)) X x x X X X X X X X X . 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. DDRS HCBS Waivers iv Library Reference Number: PRPR10014 Published: June 29, 2023. 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. New document . X X X X X X X X X Service specific survey or certification tool if applicable. BQIS / Liberty of Indiana Corporation developed this guide, with input from IN-ABC and HABA in response to the. 6 of the DDRS Waiver Manual, Provider Agreement Checklist Form, and data from the 90 day check list. BT202219. This pdf document contains detailed information about the waiver, such as eligibility criteria, covered services, provider qualifications, and quality assurance. BR202322. Final regulations for HCBS provided under Medicaid’s 1915 (c), 1915 (i) and 1915 (k) authorities. Policies and procedures as of Sept. 00. INDIANA HEALTH COVERAGE PROGRAMS BT201624 MAY 5, 2016 Page 1 of 8. 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. 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. Indiana Health Coverage Programs Waiver Provider. In the settings rule CMS clarified expectations about person-centered planning and the things that need to happen when HCBS waiversFor information on becoming one of the following HCBS waiver providers or to request an application, please contact Provider Enrollment at (916) 552-9105. Application for a §1915(c) Home and Community-Based Waiver Instructions, Technical Guide and Review Criteria. 00 Appendix 2f 4. Process for adding temporary services/counties during COVID-19 public health emergency. 14 Put the plan into action 4. 00. U7=Waiver; RP=Replacement . Individuals on a waiting list are not eligible for the HCBS waiver group. in. 100 Providers of CES Waiver Services in Arkansas and Bordering States Trade Area Cities 202. Incident reporting. FSSA selects managed care entities to serve Healthy Indiana Plan and Hoosier Healthwise members. 291818717@t. Findings revealed HCBS waivers projected serving approximately 565,000 participants per year. This manual was issued by the Office of Medicaid Policy and Planning on February 13, 2007 and will be updated on a quarterly basis. Indiana Plan : HIP State Plan : Yes, copays apply and contribut ions accrue Y : N : MARB ; HIP Regular Basic 19 – 64 : ≤100% FPL : N/A : Healthy Indiana Plan HIP ABP Yes,. Be eligible for Traditional Medicaid. Indiana applies for permission to offer Medicaid Waivers from the Centers for Medicare and Medicaid Services. It began in 1992 as the Home and Community Based Services for the Elderly and Disabled (HCBS/ED) waiver program. 1506. Click Here for Draft 1915 (c) HCBS Waiver Application. We have also explored HCBS waiver capacity and state management of waiting lists and summarized state efforts to address the primary drivers of. population, but over 3% of nursing facilities •LTSS members are 4% of Medicaid enrollment, yet 28% of spend - only ~ 19% of LTSS spend goes to home. Eastern Time on Oct. 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. 00 Appendix 3 Form and Instructions. HCBS Consolidated Waiver Operations Manual - v - 4. Current professional and personal liability insurance policy to cover:. Waiver Administration and Operation. Individuals must meet both HCBS eligibility and Medicaid eligibility guidelines in order to be eligible for BPHC services. 018. T2029 . 100 CES Waiver Services 200. HCBS SED Participant Interest Inventory SED Eligibility New. See More. The requirements for State Burial Assistance under the Medicaid program are also included. Date Revised: March 31, 2023 . Download the. 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. Traumatic brain injury means a sudden insult. 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. However, because section 1915(c) waivers must be cost neutral, waiting lists exist for individuals seeking access to waiver services. 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. of receipt. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. Medicaid HCBS. e. HCBS Setting Characteristics (42 CFR 441. 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). Nearly all states and DC offer services through HCBS Waivers. The Medicaid Home-and Community-Based Services (HCBS) waiver program was authorized under Section 1915 (c) of the Social Security Act. Use of an EVV system to document home health services will be required for dates of service on or after Jan. 26 A small. Reimbursement: an evaluation of rates and rate methodology. 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. 1130 (voice), 914-259-8036 (VP). : 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. DDRS will rely on case managers and waiver providers as front-line contacts for addressing concerns of waiver participants (and family members). Overview . 00 – 3380. 2. 1. Potential provider enrolls with Indiana . 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. 00 PRESUMPTION OF INTENT IN TRANSFERRING PROPERTY Add. The categories are the following: MED 1 Categories. Sent policy, information, and . 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. integrated settings. of the BAIHS funded HCBS to eligible approved individuals, including the nursing facility level of care Medicaid waivers. eligible for an HCBS Waiver. Disability Waiver generally agreed that the State should explore how to move individuals from the Home and Community Based Services (HCBS) Intellectual and Developmental Disability (I/DD) waiver waitlist on to the HCBS I/DD waiver. 4. Application for 1915(c) HCBS Waiver: CA. 8 times per year. Monthly newsletter. Adult Protective Services. The IHCP encourages providers to reference all resources to ensure claims are. Personnel Policies and Manuals Rule 16. • ***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. , Room W454, MS 21. 14; mLTSS Tentative Timeline Overview; Milestone Timeframe*state plan HCBS (e. 401: Introduction 130 CMR 630. 25, 2016. ADRC Information, Referral and Assistance ADRC Information Referral Assistance Fillable. The project team has identified two different options, or paths, for organizing the waivers as part of redesign which are presented below. 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. 1 renumbered “5. 03/10/2022. Welf. N/A : Defaults to FFS : Can opt into Hoosier Care Connect : Full : Exe mpt Cha pter 160 0 (Fin al Dra ft). 9, within the scope of practice of a LCSW. And Repair $500. 5K. 02 - Feb 01, 2020 (as of Feb 01, 2020) Page 5 of 266 01/22/2020. Rule 1. (Indiana Health Coverage Programs) HCBS waiver provider manuals and the Bureau of Quality Improvement Services (BQIS) Helpline. The waivers are programs of. 7: Indiana Money Follows the Person (MFP) See full list on in. , 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. 00 - Jan 31, 2024 Page 3 of 332 09/01/2023. All have meaningful access and an equal opportunity to participate in our services, actives, programs and other benefits. Additional requirements apply, based on the specific waiver program. However, only members withwith developmental disabilities. Indianapolis, IN 46027. 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. 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. To be eligible for any HCBS program, you must meet Medicaid guidelines and HCBS program-specific eligibility guidelines. Document Management Verfahren Reference: FROM HCBS Waiver Provider Manual. 01 - Feb 01, 2020 (as of Feb 01, 2020) Page 4 of 255 01/22/2020. instructions Review letter of intent and references. m. DA Home- and Community-Based Services Waivers. In the settings rule CMS clarified expectations about person-centered planning and the things that need to happen when HCBS waivers BPHC and HCBS comprehensive training 3/8/21; Critical incident reports quality assurance 6/2019; Rules and regulations. gov/fssa/da. in. The proposed waiver amendments can be viewed below. 20101. 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. Indiana Health Coverage Program Policy Manual Manual Transmittals #15 2023 SECTION SECTION TITLE CHANGES MADE MONTH 1620.