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) publishes this notice of proposed changes to methods and standards governing applied behavior analysis (ABA) therapy services. The public notice period will run 11/15/2023 through 12/15/2023.

FSSA – OMPP proposes to establish a minimum fee schedule for ABA therapy services. The proposed fee schedule replaces the current reimbursement methodology that reimburses each claim at a percentage of billed charges. The change will result in consistent reimbursement across all ABA providers and more predictable Medicaid budget forecasting. Implementation of the minimum fee schedule is projected to result in a decrease in annual ABA therapy expenditures. The minimum fee schedule is intended to be effective 1/1/2024.

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 W382, P.O. Box 7083, Indianapolis, IN 46207-7083 or by email to spacomment@fssa.in.gov. Correspondence should be identified in the following manner: COMMENT RE: ABA THERAPY SERVICES. Written comments will be made available for public inspection at the address herein of the OMPP.

Daniel Rusyniak, MD

Secretary

Family and Social Services Administration