In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration, Office of Medicaid Policy and Planning publishes this notice of Waiver Amendment.

PURPOSE

The Indiana Family and Social Services Administration (FSSA) administers the Medicaid Rehabilitation Option (MRO) program, with policy and operational oversight provided through the FSSA's Office of Medicaid Policy and Planning (OMPP) and Division of Mental Health and Addiction (DMHA). MRO services include community-based mental healthcare for individuals with serious mental illness, youth with serious emotional disturbance, and/or individuals with substance use disorders. MRO services may include clinical attention in the member's home, workplace, mental health facility, emergency department, or wherever needed. The MRO 1915(b)(4) waiver allows for selective contracting with Community Mental Health Centers across the state to provide MRO services.

Effective January 1, 2019, the MRO 1915(b)(4) waiver amendment removes Intensive Outpatient Treatment and Peer Recovery Services from MRO. These services will be moved to the clinic option in the Medicaid State Plan.

Fiscal Impact (in millions):

SUBMISSION OF COMMENTS

A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W374 and is open for public inspection. Also, a copy of this notice is now available and may be inspected by contacting the local county Division of Family Resources office, except in Marion County, where public inspection may be made at 402 West Washington Street, Room W374, Indianapolis, Indiana.

There will not be a public hearing. Anyone who wishes to comment on the proposed renewal may submit through September 14, 2018, at 5:00 p.m. Written comments may be sent via email to: spacomments@fssa.in.gov or by mail to:

All written comments concerning this renewal received by OMPP will be available for public inspection at the Office of Medicaid Policy and Planning, 402 West Washington Street, Room W374, Indianapolis, Indiana.

Jennifer Walthall, MD, MPH

Secretary

Family and Social Services Administration