HCBS Enhanced FMAP Spending Plan
The Indiana Family and Social Services Administration is engaged in an ongoing initiative to work with providers and stakeholders on the best ways to capitalize on enhanced Federal Medical Assistance Percentage funds from the American Rescue Plan to improve home- and community-based services for Medicaid beneficiaries. Below are current and previous announcements related to this initiative.
- HCBS Stabilization Grant Now Open
Jan. 10, 2022
The Indiana Family and Social Services Administration is pleased to announce that the Home- and Community-Based Services Stabilization Grant, as described on this page, are now open.
HCBS providers can watch this informational video regarding the grants to obtain more information. Topics covered in the video include general background on the grants, eligible provider groups, process and timing expectations, grant methodology, and required provider attestations.
Interested eligible providers may now submit the required Attestation Form via this link. A signed and submitted attestation form is the only required documentation to demonstrate eligibility for the grant.
- Background: As identified on this page, the HCBS Stabilization Grant has been made available by FSSA to support providers and frontline staff affected by the public health emergency.
- Purpose: The purpose of the grant is both to retroactively address COVID-19-related expenses and challenges and to recognize the important work of frontline staff, including costs related to compensation and benefits, COVID-19 testing, personal protective equipment, and other COVID-19 related expenses, to allow providers to stabilize their operations.
- Eligibility: Currently active HCBS Medicaid providers who were also active during the COVID-19 public health emergency. This is defined as HCBS Medicaid providers who (1) submitted a claims expenditure in CY2021 and (2) submitted a claims expenditure in CY2019, CY2020 and/or CY2021.
- Attestation Process and Timing: Interested qualifying providers must submit a signed attestation form by Feb. 10, 2022 to be considered. FSSA will also establish an early deadline of Jan. 25, 2022, and attestation forms submitted before then will be reviewed and paid out early.
- HCBS Stabilization Grant informational video coming early January
Dec. 27, 2021
The Indiana Family and Social Services Administration will share an informational video in early January 2022 regarding our Home- and Community-Based Services Stabilization Grants as described in our HCBS Enhanced FMAP Spend Plan, which received conditional approval from CMS on Sept. 30, 2021. For more information, please see below.
- Who: HCBS Medicaid Providers
- When: Early January 2022
- How to View: The video will be posted and available to view on this webpage
FSSA is excited to share this update as we work to stabilize critical HCBS provider and workforce operations in response to the COVID-19 public health emergency.
Topics FSSA will cover in the video include general background on the grants, process and timing expectations, grant methodology, and required provider attestations.
Please feel free to direct any questions and/or feedback to email@example.com.
- FSSA response letter
Oct. 8, 2021
The Indiana Family and Social Services Administration sent a letter on Oct. 7, 2021 to the Centers for Medicare and Medicaid Services in response to their letter from Sept. 30, 2021, on our Home- and Community-Based Services Enhanced Federal Medical Assistance Percentage (or “FMAP”) Spend Plan. The response letter requested that CMS confirm our ability to move forward, as well as which expenses and activities are allowable, and acceptable timing for plan implementation.
We appreciate and are eager for your continued engagement once we receive CMS' full approval to move forward.
- Conditional approval of HCBS enhanced FMAP spend plan
Oct. 1, 2021
The Indiana Family and Social Services Administration is excited to share the news that we received conditional approval on Sept. 30, 2021, on our Home- and Community-Based Services Enhanced Federal Medical Assistance Percentage (or “FMAP”) Spend Plan from the Centers for Medicare and Medicaid Services! Thank you for your input and engagement in this process, as we value your partnership.
We will be responding to CMS to obtain confirmation on our ability to move forward, as well as which expenses are allowable, and acceptable timing for plan implementation. We appreciate and are eager for your continued engagement once we receive CMS' full approval to move forward.
Dan Rusyniak, M.D.
Family and Social Services Administration
- Indiana’s Proposed Spending Plan for Implementation of HCBS Enhanced FMAP
July 7, 2021
Thank you for providing thoughtful input regarding how the Indiana Family and Social Services Administration can best use enhanced Federal Medical Assistance Percentage funds from the American Rescue Plan to improve home and community-based services for Medicaid beneficiaries. Informed by the feedback received from survey respondents and in alignment with Centers for Medicaid & Medicare Services guidance, FSSA has developed Indiana’s HCBS Spending Plan to be submitted to CMS on Friday, July 9, 2021.
As we discussed, FSSA is sharing a copy of the spending plan with our stakeholder community prior to submission, which can be found at the link here. Our spending plan initially focuses on a stabilization phase in response to the COVID-19 public health emergency. In concurrent phases, thanks to your input, FSSA has identified four priority areas for our plan to effectively advance HCBS in the state of Indiana. They are as follows:
- Expand the workforce
- Enhance HCBS
- Build provider capacity
- Caregiver training and support
Medicaid Director Allison Taylor presented a summary of the spending plan and these priority areas to the State Budget Committee on June 23. The proposals detailed in the spending plan are preliminary ideas put forth by the state of Indiana and are subject to change as the project evolves. In developing these ideas, we took care to prioritize those that appeared aligned with stakeholder feedback and were best positioned to leverage these one-time financial resources into a long-term systemic impact.
In terms of next steps, FSSA will be hosting opportunities for continued stakeholder feedback later this summer. These opportunities will be focused on refining the proposals reflected in the spending plan and to gather feedback on key issues to address as we work toward implementation. Additional information about these opportunities will be available within the next month. We thank the stakeholder community for your dedicated engagement and thoughtful input.
Dan Rusyniak, M.D.
Incoming Secretary, FSSA
- HCBS Stabilization Grant Deadline Extended to Feb. 18
The Indiana Family & Social Services Administration will be extending the deadline from February 10 to February 18, 2022, for the Home- and Community-Based Services Stabilization Grant opportunity, as described in our HCBS Enhanced Federal Medical Assistance Percentage funds Spend Plan. Interested eligible HCBS Medicaid providers now have until February 18, 2022, to complete the required grant attestation form.
Additionally, FSSA intends to make an update to the methodology for calculating grant amounts to ensure a more equitable approach in light of the continuing Public Health Emergency. FSSA will now calculate the grant amount as a flat percentage of each eligible provider’s highest annual claims total across calendar years 2019, 2020, and 2021. The percentage applied will remain in the previously stated range of 7-8%.
Please direct any questions and/or feedback to firstname.lastname@example.org.
- HCBS Stabilization Grant Award Priority Payments Released
Feb. 24, 2022
The Indiana Family & Social Services Administration is pleased to announce the first round of Home- and Community-Based Services Stabilization Grant payments was issued to providers on February 24, 2022. Eligible HCBS Medicaid providers who completed the attestation form before Jan. 25, 2022, received their grant award in this first round of funding.
Announced on Jan. 10, 2022, FSSA made available $173 million of Indiana’s HCBS enhanced FMAP funding, provided by Section 9817 of the American Rescue Plan Act, as HCBS Stabilization Grants. These grants were awarded to providers with a requirement to pass through at least 75% of the grant directly to their workforce. In the first round of payments, a total of $97 million was awarded to 608 HCBS providers with at least $73 million of those dollars directed to the HCBS workforce.
Eligible providers who submitted their attestations after Jan. 25, 2022, and before the Feb. 18, 2022, deadline can expect their grant distribution in the second and final round of payments before March 31, 2022. FSSA looks forward to sharing an update on the second and final round of payments to HCBS providers in the coming weeks.
Additional information regarding the first round of payments and stakeholder engagement can be found by clicking here. Please continue to check this webpage for future updates and direct any questions and/or feedback to email@example.com.
- Bariatric Ambulance Grant Program Application Deadline Extended to May 23, 2022.
FSSA has extended the deadline to submit an application for the HCBS bariatric ambulance grant program. Applications are now due May 23, 2022.
Additionally, FSSA has clarified if awarded a grant, providers must order vehicle by no later than October 1, 2022, and provide proof of purchase. Providers must also confirm receipt of vehicle and when it is operational to transport Medicaid members.
An updated RFF is linked below along with a template of the annual impact report providers will be required to submit.
The Indiana Family and Social Services Administration is pleased to announce the Bariatric Ambulance Grant, as described in our HCBS Enhanced FMAP Spend Plan, is now open to Indiana units of local government and independent ambulance operators.
As part of FSSA’s Home and Community-Based Services Spend Plan, OMPP is issuing grants to qualifying providers to cover the cost to purchase bariatric ambulances.
Purpose: The purpose of these grants is to improve transportation services to members residing in their home and needing non-emergent care and services within their community that requires the use of a bariatric ambulance.
OMPP is making available a one-time, federally funded, opportunity to cover the cost to purchase bariatric ambulances at $180,000 per vehicle, and up to two vehicles per applicant, aimed at increasing non-emergency medical transportation services.
Eligibility criteria: To be eligible for an HCBS ambulance grant RFF-2022-007, providers must meet the following criteria as of the date of grant application submission:
- Appropriately licensed to operate ambulances and must be actively enrolled as a transportation provider in the state’s Medicaid fee-for-service NEMT program, currently administered by Southeastrans, Inc.
- Willing to pick up members at their own residence, i.e., home, condo or apartment. Separate funding is available to assist members in addressing structural accessibility issues that may reduce/limit the ability of EMS to enter the residence with the necessary equipment.
- Able to submit a quarterly usage report and an annual impact report to OMPP.
- Agree to schedule and bill for services according to the state and NEMT broker policies.
- Comply with the requirements of 2 CFR 200.313 – Equipment upon receipt of grant funds, and cooperate with the appropriate state or federal agencies to verify ongoing compliance.
How to apply:
- Applicants must submit a technical proposal, budget and budget narrative as outlined in the Bariatric Ambulance Grant Program RFF-2022-007 by 4:30 p.m. Eastern Time on May 23, 2022.
- Applications must be submitted to firstname.lastname@example.org.
A copy of the RFF-2022-007 with attachments and more information is available below. Questions about this funding or the application process may be directed to email@example.com.
- HCBS Stabilization Grants Announcement
The Indiana Family & Social Services Administration is excited to announce that $172 million of the Home and Community-Based Services Stabilization Grant has been awarded to 1156 providers across the state. The HCBS Stabilization Grants were designed to provide immediate stabilization to Indiana’s workforce and community-based provider network.
Announced on Jan. 10, 2022, FSSA made available $173 million of Indiana’s HCBS enhanced FMAP funding, provided by Section 9817 of the American Rescue Plan Act, as HCBS Stabilization Grants. Due to the grant requirement to pass through at least 75% of the grant directly to their workforce, at least $129 million of the awarded dollars were directed to the HCBS workforce. Providers received an 8.1% increase applied to their qualifying baseline claims expenditure for a median payment of $54,000. For more information, please see the payment FAQ.
Looking ahead, FSSA will email a survey to all participating providers to capture how they spent the funding and the overall impact on their workforce and services.
FSSA looks forward to continuing to provide support to Indiana’s HCBS community throughout Phase 2 as outlined in the HCBS spend plan. For future updates, please visit this webpage.