OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Public Notice of Amendment of Rate Adjustments
for the Child Mental Health Wraparound Program
In accordance with public notice requirements established at 42 CFR 447.205, the Indiana Family and Social Services Administration (FSSA), Office of Medicaid Policy and Planning (OMPP), and the Division of Mental Health and Addiction (DMHA) publishes this notice of amendment of and changes to the rates for the Child Mental Health Wraparound (CMHW) State Plan Benefit. The proposed reimbursement pages will be available for review and public comment from August 30, 2023, through September 29, 2023, by accessing DMHA-Y's Policy and Procedure webpage at https://www.in.gov/fssa/dmha/youthservices/operating-policy-and-procedure/. The effective date for these changes will be October 1, 2023.
The state plan is being amended to include the following changes to the rate methodology:
1. Rates to be developed using an independent rate model which uses Bureau of Labor Statistics data and market data.
2. Regularly scheduled rate reviews will take place every four years.
3. A cost-of-living increase of 2% will be applied annually until the next rate review.
OMPP and DMHA are changing the rate methodology to capture rates more accurately for these services and ensure that rates are updated regularly to keep up with inflationary demands. The changes to the rate methodology will result in an increase of provider reimbursement rates for delivering CMHW services. Below are the CMHW services offered and the new rates effective October 1.
| | |
| Service Name | Service Unit | Unit Rate |
| Habilitation Services | 15 minutes | $19.54 |
| Training for Caregiver | 15 minutes | $19.54 |
| Wraparound Facilitation | Per month | $1,074.69 |
| Respite Routine-Hourly | 15 minutes | $14.53 |
| Respite Routine-Daily | Per day | $402.97 |
| Respite PRTF-Daily | Per day | $408.77 |
A copy of this notice is now on file at the Indiana Government Center South, 402 West Washington Street, Room W451, Indianapolis, Indiana 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 be no public hearing. Written comments may be directed to FSSA, Office of Medicaid Policy and Planning, Attention: Madison May-Gruthusen, 402 West Washington Street, Room W374, Indianapolis, IN 46204 or by email to spacomment@fssa.in.gov. Correspondence should be identified in the following manner: COMMENT RE: CMHW RATES. Written comments will be made available for public inspection at the address herein of the OMPP.
Family and Social Services Administration
Posted: 08/30/2023 by Legislative Services Agency
DIN: 20230830-IR-405230615ONA
Composed: May 19,2024 7:33:10PM EDT
A
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