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1102 Task Force Update

on October 07, 2019

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September 24, 2019

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DDRS

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Waiver Amendments and Public Comment

The Bureau of Disabilities Services announced a public comment period for proposed amendments to the Family Supports Waiver (FSW), Community Integration and Habilitation Waiver (CIH), Health and Wellness Waiver (H&W), and the Traumatic Brain Injury Waiver (TBI). Public comment is an opportunity to share thoughts and concerns around the proposed changes. Comments can be submitted to ddrswaivernoticecomment@fssa.in.gov , and the public comment period is open until March 18, 2026 . In February, we shared this video that also has links to additional resources on providing public comment, specifically for Medicaid Waivers, also referred to as Home and Community Based Services. Some of the proposed amendments include (but are not limited to): Rate modification for live-in caregivers providing ATTC (Attendant Care), PAC (Participant Assistance and Care) and RHS (Residential Habilitation and Support). Part of what makes up the current rate is an allowance...

Waiver Amendments Effective December 31, 2025

From DDARS "In July of 2025, the Bureau of Disabilities Services (BDS) issued public notice on the intent to submit amendments to the Family Support (FS), Community Integration and Habilitation (CIH), Health and Wellness (H&W), and Traumatic Brain Injury (TBI) Waivers to the Centers for Medicare and Medicaid Services (CMS) for consideration. The 30-day public comment period concluded on August 9, 2025. Following review and consideration of public comment, the BDS has submitted the amendments to CMS for review. BDS intent, with CMS approval, is to move forward with the proposed limits presented in those amendments for Recreational Therapy, Music therapy, and the service changes to Behavior Support Services. The Bureau’s transition plan for these service limit changes includes the ability for individuals to maintain the service they are receiving up to the effective date of this change. Any service plan as of December 31, 2025, that includes services in excess of the proposed l...

FSSA implements extraordinary care allowance for Attendant Care and Participant Assistance and Care

From FSSA, original announcement can be found here: https://www.in.gov/medicaid/providers/files/bulletins/BT202603.pdf "The Indiana Family and Social Services Administration (FSSA) is implementing the “extraordinary care” allowance for individuals receiving the following services through one of the indicated Home- and Community-Based Services (HCBS) Medicaid waivers: Attendant Care – Health and Wellness (H&W) Waiver; Indiana PathWays for Aging (PathWays) Waiver Participant Assistance and Care (PAC) – Family Support Waiver (FSW) This allowance is outlined in the approved HCBS Medicaid waiver, effective Dec. 31, 2025 . Extraordinary care means care provided by the parent of a minor child or by a spouse (also known as a legally responsible individual [LRI]), that the individual receiving the care is unable to perform independently to meet his or her intensive nursing care needs under the supervision of an interdisciplinary team. The care must be provided under ...

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