In accordance with 42 CFR §431.408(a)(2)(ii), the Indiana Family and Social Services Administration (FSSA) will be holding public hearings on a proposed extension of the Healthy Indiana Plan Section 1115 demonstration waiver (HIP Waiver) that will be submitted to the Centers for Medicare and Medicaid Services (CMS). The Healthy Indiana Plan (HIP) has been a feature of Indiana's Medicaid program since 2008. The current approval to operate HIP expires December 31, 2020. Through this submission, FSSA is seeking a ten year extension of the HIP Waiver with no substantive changes. The extension request includes incorporation of the HIP Bridge Account amendment, which was submitted to CMS on July 25, 2019. FSSA will be requesting the following nonsubstantive, technical changes through the extension request:

• Flexibility to modify the POWER Account contribution tiers below average limit of three percent of member income, with appropriate notice to members, stakeholders, and CMS, but without requiring the submission of a waiver amendment. Modifications are not currently proposed but could, for example, include increasing or decreasing the amounts of the POWER Account base contribution or the tobacco surcharge.

• Flexibility to modify the HIP Basic copayment amounts within the Medicaid allowable limits, with appropriate notice to members, stakeholders, and CMS, but without requiring the submission of a waiver amendment. Modifications are not currently proposed but these modifications may include increases in copayment amounts within limits allowed for cost of living increases, decreases in copayment amounts, or implementation of copayment waivers on target services.

Additionally, through this waiver extension application, FSSA is seeking federal approval for a five-year extension of the substance use disorder (SUD) and requested serious mental illness (SMI) components of the HIP Waiver. This includes authority to reimburse institutions for mental disease (IMDs) for short term stays for individuals diagnosed with SMI or SUD.

Hearings will be held as follows:

All information regarding the submission, including the public notice, the HIP Waiver extension, and other documentation regarding the proposal are available for public review at the FSSA, Office of General Counsel, 402 West Washington Street, Room W451, Indianapolis, Indiana 46204. The full Public Notice and HIP Waiver documents are also available to be viewed online at https://www.in.gov/fssa/hip/.

Written comments may be sent to the FSSA via mail at 402 West Washington Street, Room W374, Indianapolis, Indiana 46204, Attention: Natalie Angel or via electronic mail at hip@fssa.in.gov through December 6, 2019, at 5:00 p.m.