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-IR- Database: Indiana Register

OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES

Notice of Public Hearing


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 End Stage Renal Disease (ESRD) Section 1115 Medicaid demonstration that will be submitted to the Centers for Medicare and Medicaid Services (CMS). The ESRD demonstration has been a feature of Indiana's Medicaid program since 2014. The current approval to operate the ESRD demonstration expires December 31, 2020. Through this submission, FSSA is seeking a five-year extension of the ESRD demonstration with two primary changes.

1. In an effort to help promote access to program, the state seeks to increase asset limits from $1,500 to $2,250 for individuals, and increase asset limits from $2,000 to $3,000 for couples.
2. The program also seeks a modification around communication to beneficiaries. Beginning in January 2021, as required by the 21st Century Cures Act of 2016, all ESRD beneficiaries will have the option to enroll in Medicare Advantage (MA). MA is positioned to provide ESRD beneficiaries with better coverage compared to Traditional FFS Medicare due to its maximum out-of-pocket limit for consumers, supplemental benefits, and ability to coordinate care. Due to the change in MA covering individuals, the state will notify members of this new enrollment opportunity and will coordinate with the State Health Insurance Assistance Program (SHIP) to ensure members who wish to enroll in MA have the needed assistance. Enrollment in MA will not impact an individual's eligibility for the ESRD 1115 waiver.

This notice serves to open the 30-day public comment period, which closes 06/12/2020. In addition to the 30-day public comment period in which the public will be able to provide written comments, FSSA will host public hearings in which the public may provide oral comments and post written comments. Due to the current state of emergency present at a state and federal level and CDC COVID-19 social distancing recommendations, these meetings will be virtual only. Visit https://www.in.gov/fssa/5537.htm for the most up to date information regarding the public hearings.

Hearings will be held as follows:

1. VIRTUAL MEETING
Tuesday, 05/19/2020, 1:00 p.m. - 2:30 p.m.
To provide oral comments, access WebEx meeting:
Online: https://indiana.webex.com/indiana/j.php?MTID=m4a78c124ee8e153c0ff5722f104c4dc7
Password: 432H8GpusJi
*One can also access online by going to https://www.in.gov/fssa/5537.htm and clicking link to WebEx meeting and entering the password*
Call-in: Dial: 1-240-454-0887; Meeting ID (access code): 475 620 522

To post written comments online, login to Adobe Connect:
https://indiana.adobeconnect.com/ompp

2. VIRTUAL MEETING
Wednesday, 05/20/2020, 1:00 p.m. - 2:30 p.m.
To provide oral comments, access WebEx meeting:
Online: https://indiana.webex.com/indiana/j.php?MTID=m71c4353e84ab6a552c014330cd0795a6
Password: YGh9G5p7W52
*One can also access online by going to https://www.in.gov/fssa/5537.htm and clicking link to WebEx meeting and entering the password*
Call-in: Dial: 1-240-454-0887; Meeting ID (access code): 470 049 012

To post written comments online, login to Adobe Connect:
https://indiana.adobeconnect.com/ompp

The full Public Notice and ESRD demonstration documents are available to be viewed online at https://www.in.gov/fssa/5537.htm.

Written comments may be sent to the FSSA via mail at 402 West Washington Street, Room W374, Indianapolis, Indiana 46204, Attention: Andrew Bean or via electronic mail to andrew.bean@fssa.in.gov through 06/12/2020 at 5:00 p.m.

Prior to finalizing the proposed ESRD demonstration, FSSA will consider all written and verbal public comments received. The comments will be summarized and addressed in the final version to be submitted to CMS.

Posted: 05/13/2020 by Legislative Services Agency

DIN: 20200513-IR-405200245ONA
Composed: May 15,2024 11:10:05AM EDT
A PDF version of this document.