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There were a number of changes to the DDRS HCBS Waivers Module that we would like to highlight for your attention. These changes include updated rates for the FSW Waiver, updates to risk plan development and implementation, clarification of the provider application process, an updated targeting process for the FSW waiver, the addition of a Quality On-Site Provider Review section, updates to the reimbursable activity and activities allowed for case management, the addition of a Vehicle Modifications Section to Service Definitions and Requirements, and updates to the waiver services providers, including Selected Contracting Case Management Organization Sections. Please feel free to reach out to Courtney Scott at courtney@inarf.org if you have any questions regarding any of these changes. The Indiana Health Coverage Programs posted the following important information to the provider website at in.gov/medicaid/providers on June 28, 2022 (unless alternate date is noted). News and Announcements IHCP to host live webinar on age-specific diagnoses Bulletins and Banner Page BT202247 – IHCP to cover COVID-19 vaccine counseling as part of EPSDT benefit BT202246 – Pharmacy updates approved by Drug Utilization Review Board June 2022 BR202226 FSSA reminds PRTF providers of rate changes for 2022 IHCP issues reminder and general guidance to facilitate prior authorization submissions FSSA reminds waiver providers of the temporary rate for assisted living services ends June 30, 2022 Provider Reference Modules Medical Practitioner Reimbursement (see the module for a full list of changes) Added the IHCP Professional Pricing Methods section and updated both subsections Updated the Special Payment Situations section Removed the Mid-Level Practitioners section Updated the Advanced Practice Registered Nurses section Updated the Physician Assistants section Added the Behavioral Health Practitioners section Added the Nonenrolled Therapy Practitioners section Added the Community Health Workers section Updated the Provider Preventable Conditions section Updated the Site-of-Service Payment Adjustment section Removed the Reimbursement for Notification of Pregnancy section Updated the Reimbursement for the Promoting Interoperability Program section Division of Disability and Rehabilitative Services Home- and Community-Based Services Waivers (posted June 24, 2022) (see the module for a full list of changes) Updated the annual cap for FSW Updated Section 1.7: Waiver Service Providers, Including Selected Contracting Case Management Organizations Updated Section 1.8: Office of Administrative Law Proceedings (OALP) Updated the Participating in Risk Plan Development and Implementation section Added Section 1.10: FSSA BDDS Documentation Requests Updated the Services Available subsections and removed the Terminated Services subsections in Section 4.5: Family Supports Waiver (FSW) and Section 4.6: Community Integration and Habilitation (CIH) Waiver Updated the Responsibilities of Individuals Applying for a CIH Waiver Priority Slot section Added Section 9.7: Quality On-Site Provider Review Check out these resources to stay up to date with the most recent changes at the IHCP.
There were a number of changes to the DDRS HCBS Waivers Module that we would like to highlight for your attention. These changes include updated rates for the FSW Waiver, updates to risk plan development and implementation, clarification of the provider application process, an updated targeting process for the FSW waiver, the addition of a Quality On-Site Provider Review section, updates to the reimbursable activity and activities allowed for case management, the addition of a Vehicle Modifications Section to Service Definitions and Requirements, and updates to the waiver services providers, including Selected Contracting Case Management Organization Sections.
Please feel free to reach out to Courtney Scott at courtney@inarf.org if you have any questions regarding any of these changes.
The Indiana Health Coverage Programs posted the following important information to the provider website at in.gov/medicaid/providers on June 28, 2022 (unless alternate date is noted).
IHCP to host live webinar on age-specific diagnoses
BT202247 – IHCP to cover COVID-19 vaccine counseling as part of EPSDT benefit
BT202246 – Pharmacy updates approved by Drug Utilization Review Board June 2022
BR202226
Medical Practitioner Reimbursement (see the module for a full list of changes)
Division of Disability and Rehabilitative Services Home- and Community-Based Services Waivers (posted June 24, 2022) (see the module for a full list of changes)
Check out these resources to stay up to date with the most recent changes at the IHCP.