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Psychiatric Residential Treatment Facility Transition Waiver

Indiana implemented the 1915(c) PRTF Transition Waiver in October 2012, following the 5-year implementation of the Community Alternative to Psychiatric Residential Treatment Facility (CA-PRTF) Demonstration Grant. Section 6063 of the Deficit Reduction Act (DRA) of 2005 specifies: “At the end of the demonstration (grant) period, the state may allow children enrolled in the demonstration project to continue receiving the Medicaid home and community-based waiver services provided under the demonstration; however, no new children could be added to the project.”

As authorized under Section 6063 of the DRA of 2005, the PRTF Transition Waiver allowed Indiana to transition all eligible children/youth from the CA-PRTF Demonstration Grant to the PRTF Transition Waiver effective October 1, 2012.

Eligible waiver participants were enrolled in the CA-PRTF Grant as of September 30, 2012. Due to the limitation imposed by the DRA of 2005 for this transition waiver, no additional individuals will be allowed to apply for or receive waiver services through the PRTF Transition Waiver.

The PRTF Transition Waiver includes the same service options previously available under the CA-PRTF Grant. The Waiver continues to promote Indiana’s behavioral health system transformation goal to provide intensive community-based care for children with high levels of need and whose families and/or caretakers and community would be able and willing to safely maintain the youth in a community-based setting with adequate and appropriate interventions and support.

Waiver Service Providers

All CA-PRTF Demonstration Grant service providers, who met specific standards set forth by DMHA, became PRTF Transition Waiver providers on October 1, 2012. However, as needed to support this limited waiver program, additional child service agencies and providers may continue to be recruited to become waiver service providers.