In accordance with public notice requirements of 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA) Division of Mental Health and Addiction Adult Services (DMHA-A) intends to submit a proposed renewal to the 1915(i) State Plan benefit to the Centers for Medicare & Medicaid Services (CMS) for consideration. The 1915(i) State Plan benefit renewal will be available for review and public comment beginning on August 22, 2018, by accessing DMHA-A's Policy and Procedure page (http://www.in.gov/fssa/dmha/3103.htm).

The renewal to the 1915(i) State Plan benefit will have an effective renewal date of June 1, 2019, contingent on CMS approval. There are no new changes in the waiver; however, the Office of Medicaid and Policy Planning (OMPP) and DMHA-A have proposed the addition of a requirement for the provider to supply a copy of the BPHC Individualized Integrated Care Plan (IICP) to the member or legal guardian.

As a result of the program experience in the first years of implementation the expected members served and fiscal impact have been updated to reflect actual program impact. Originally, it was estimated there would be 4,562 members served but the new estimate with program experience and utilization is estimating 3,000 members served. The decrease in estimated members results in the fiscal impact decrease.

The 30 day public comment period will run from August 22, 2018, to September 21, 2018. Comments may be emailed to DMHAAdultHCBS@fssa.in.gov or mailed to the address below:

A posted copy of the proposed renewal changes will be available at your local provider agency and at your local Division of Family Resources office.

Jennifer Walthall, M.D., MPH

Secretary

Family and Social Services Administration