OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Clarification Notice Regarding the Renewal to the
Child Mental Health Wraparound State Plan Benefit
In December 2017, the Indiana Family and Social Services Administration (FSSA) Division of Mental Health and Addiction Youth Services (DMHA-Y) submitted a proposed renewal to the Child Mental Health Wraparound (CMHW) State Plan Benefit to the Centers for Medicare and Medicaid Services (CMS) for consideration. The CMHW renewal was made available for review and public comment from November 15, 2017, to December 15, 2017. This notice is a clarification to the public notice issued at that time. The clarification notice will be made available for review and public comment from March 14, 2018, to April 13, 2018.
The renewal to the CMHW included information regarding changes made to the CMHW program, which will have an effective renewal date of July 1, 2018, contingent on CMS approval. Changes include clarification of settings requirements for HCBS to bring all sites providing CMHW services into compliance with federal regulations and an extension of services into the member's 18th year of age, so long as eligibility is met. Due to the extension of services, program enrollment will have an estimated overall increase of 3.2%.
The renewal updated provider qualifications for Wraparound Facilitation, Respite, Habilitation, and Training and Support for Unpaid Caregivers. The renewal included a provider rate increase for Respite and Wraparound Facilitation as a result of recently conducted rate review. These changes are to increase the workforce in underserved areas with the plan to increase service to members. The tables below represent the rate increases and fiscal impact of the rate increases. Projected expenditures were adjusted to reflect the new rate for each service. No change in utilization was projected for any of the services.
| | | |
| Service Category | Billing Unit | Current Rate | Proposed New Rate |
| Respite (Routine) Care Services | 1 day | $ 100.00 | $ 243.77 |
| Respite (Crisis) Care Services | 1 day | $ 120.00 | $ 292.53 |
| Respite (Routine) Care Services | 15 minutes | $ 4.00 | $ 6.09 |
| Wraparound Facilitation | 1 month | $ 850.00 | $ 965.49 |
Fiscal Impact (in thousands):
| | | |
| | Federal Budget Impact: | FFY 2018 $160 | FFY 2019 $644 |
| | State Budget Impact: | FFY 2018 $80 | FFY 2019 $330 |
| | | | |
| | Federal Budget Impact: | SFY 2019 $644 | SFY 2020 $644 |
| | State Budget Impact: | SFY 2019 $330 | SFY 2020 $330 |
A link to the updated rate chart is available at http://www.in.gov/fssa/dmha/files/CMHW-Rates-July2018.pdf. Comments may be emailed to DMHAYouthServices@fssa.in.gov or mailed to the address below:
FSSA, Division of Mental Health and Addiction Services
DMHA Youth Services
402 W. Washington St., W353
Indianapolis, IN 46204
A posted copy of the proposed renewal changes will be available at your local Division of Family Resources office.
Family and Social Services Administration
Posted: 03/14/2018 by Legislative Services Agency
DIN: 20180314-IR-405180126ONA
Composed: May 08,2024 9:27:19PM EDT
A
PDF version of this document.
