Indiana’s Proposed Spending Plan for Implementation of HCBS Enhanced FMAP

From FSSA

Thank you for providing thoughtful input regarding how the Indiana Family and Social Services Administration can best use enhanced Federal Medical Assistance Percentage funds from the American Rescue Plan to improve home and community-based services for Medicaid beneficiaries. Informed by the feedback received from survey respondents and in alignment with Centers for Medicaid & Medicare Services guidance, FSSA has developed Indiana’s HCBS Spending Plan to be submitted to CMS on Friday, July 9, 2021.

As we discussed, FSSA is sharing a copy of the spending plan with our stakeholder community prior to submission, which can be found at the link here. Our spending plan initially focuses on a stabilization phase in response to the COVID-19 public health emergency. In concurrent phases, thanks to your input, FSSA has identified four priority areas for our plan to effectively advance HCBS in the state of Indiana. They are as follows:

  1. Expand the workforce
  2. Enhance HCBS
  3. Build provider capacity
  4. Caregiver training and support

Medicaid Director Allison Taylor presented a summary of the spending plan and these priority areas to the State Budget Committee on June 23. The proposals detailed in the spending plan are preliminary ideas put forth by the state of Indiana and are subject to change as the project evolves. In developing these ideas, we took care to prioritize those that appeared aligned with stakeholder feedback and were best positioned to leverage these one-time financial resources into a long-term systemic impact.

In terms of next steps, FSSA will be hosting opportunities for continued stakeholder feedback later this summer. These opportunities will be focused on refining the proposals reflected in the spending plan and to gather feedback on key issues to address as we work toward implementation. Additional information about these opportunities will be available within the next month. We thank the stakeholder community for your dedicated engagement and thoughtful input. 

 

Best regards,

Dan Rusyniak, M.D.
Incoming Secretary, FSSA

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