In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) and the Division of Aging (DA) intend to submit a proposed renewal to the Aged and Disabled (A&D) waiver and an updated version of the A&D waiver-specific Statewide Transition Plan (STP) to the Centers for Medicare and Medicaid Services (CMS) for consideration.

The A&D waiver provides Medicaid home and community-based services to participants in a range of community settings as an alternative to care in a nursing facility for adults and persons of all ages with a disability. The waiver is designed to provide services to supplement informal supports for persons who would require care in a nursing facility if waiver or other supports were not available. Waiver services can be used to help people remain in their own homes, as well as assist people living in nursing facilities return to community settings such as their own homes, apartments, assisted living, or adult family care.

The upcoming renewal includes information regarding a 50% provider reimbursement rate increase for monthly case management services effective July 1, 2018. The case management service will be renamed "care management" and the service definition will be updated to read: "Care Management is a process of assessment, discovery, planning, facilitation, advocacy, collaboration, and monitoring of the holistic needs of each individual, regardless of funding sources.".

Fiscal Impact (in millions):

The 30 day public comment period for the A&D waiver renewal will run January 31, 2018, through March 2, 2018. Comments may be emailed to dacomments@fssa.in.gov or mailed to the address below:

The A&D waiver renewal and updated waiver rate chart are available for review and public comment on the DA Draft Policies for Public Comment webpage (http://www.in.gov/fssa/da/3476.htm). Hard copies of the proposed renewal are available upon request at the address contained herein. Additionally, copies of the proposed renewal are available at local Division of Family Resources offices as well as local Area Agencies on Aging offices.

Jennifer Walthall, MD, MPH

Secretary

Family and Social Services Administration