In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Service Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) and the Division of Aging (DA) intend to submit a proposed amendment to the Aged and Disabled (A&D) waiver to the Centers for Medicare and Medicaid Services (CMS) for consideration.

The A&D waiver provides Medicaid home and community-based services to participants in a range of community settings as an alternative to care in a nursing facility for adults and persons of all ages with a disability. The waiver is designed to provide services to supplement informal supports for persons who would require care in a nursing facility if waiver or other supports were not available. Waiver services can be used to help people remain in their own home, as well as assist people living in nursing facilities return to community settings, such as their own homes, apartments, assisted living, or adult family care.

The Family and Social Services Administration (FSSA) Office of Medicaid Policy and Planning (OMPP) and Division of Aging (DA) proposes to amend the A&D waiver to incorporate the legislatively-approved assisted living rate increase. This amendment will also address attendant care transportation and expand the availability of participant-directed services within the waiver. In addition, the proposed amendment adds two new services, the first is caregiver coaching and behavioral management and the second is goal engagement, which are aimed at providing additional supports to caregivers and help individuals remain in the home. Lastly, the amendment would increase the number of waiver slots available in year four of the current amendment from 37,604 to 40,609, and in year five of the current amendment from 39,201 to 47,680.

Fiscal Impact (in millions):

The 30-day public comment period for the A&D waiver amendment will run January 26, 2022, through February 25, 2022. Comments may be emailed to DAComments@fssa.in.gov or mailed to the address below:

The A&D waiver amendment will be available for review and public comment on the DA Draft Policies for Public Comment webpage (http://www.in.gov/fssa/da/3476.htm). Hard copies of the proposed renewal are available upon request at the address contained herein. Additionally, copies of the proposed renewal are available at local Division of Family Resources offices as well as local Area Agencies on Aging offices.

Allison Taylor

Medicaid Director