Friday, October 31, 2014

Public Comment Period for #Waiver Transition Plan

To: Division of Disability and Rehabilitative Services Providers and Stakeholders 
From: Nicole Norvell, Director, Division of Disability and Rehabilitative Services 
Re: State Wide Transition Plans for Public Comment 
Date: October 31, 2014

The Family and Social Services Administration’s (FSSA) Division of Disability and Rehabilitative Services (DDRS) and the Office of Medicaid Policy and Planning (OMPP) have developed two comprehensive transition documents outlining Indiana’s plans to meet the Home and Community Based Services (HCBS) rules for both the Family Supports (FSW) and the Community Integration and Habilitation (CIH) Waivers.

The transition plans include information about Indiana’s assessment process to date; plans for continuing assessments; how compliance will be identified; and the strategies to be utilized to come into compliance with the HCBS rules. 

The plans for both waivers will be submitted to the Center for Medicare and Medicaid Services (CMS) no later than December 31, 2014 and are available for review on the DDRS Draft Policies for Public Comment webpage. 

Comments and suggestions will be accepted for a period of 30 days, ending on December 1, 2014 and may be emailed to DDRSpolicies@fssa.in.gov or submitted in writing to: 
Waiver Public Comment 
c/o The Division of Disability and Rehabilitative Services 
402 W. Washington St., Rm. W451 
Indianapolis, IN 46204-2243 

DDRS will also provide an opportunity for public comment during the DDRS quarterly provider meeting on November 7, 2014 and during other meetings and events being held in November, 2014.

Family Voices Indiana Funded as Community Outreach Collaborative

NDNRC ANNOUNCES LOCATIONS OF 11 COMMUNITY OUTREACH COLLABORATIVES (COCS)

The American Association on Health and Disability (AAHD) is pleased to announce that it will be funding eleven Community Outreach Collaboratives (COCs) through the National Disability Navigator Resource Collaborative (NDNRC) project.  The COCs will increase collaborations in the community, dissemination and outreach efforts and enrollment of people with disabilities in the ACA. The COCs will have two primary tasks: 1) build cross-disability collaborations with other disability organizations; and 2) have the cross-disability collaboration work as a dissemination and outreach resource with their local and/or state navigators and assisters.

The COCs represent organizations with geographic diversity as well as varying constituencies within the disability community. AAHD is proud to say that the 11 COCs represent 11 different states and are located in 9 of the 10 HHS regions. The 11 COCs are (by HHS regions) as follows:

Region #1 – Rhode Island Parent Information Network, Cranston, RI
Region #2 – Center for Independence of the Disabled, NY, New York, NY
Region #3 – NAMI (National Alliance on Mental Illness) Southwest Pennsylvania, Pittsburgh, PA
Region #4 – Lakeshore Foundation, Birmingham, AL
Region #5 – Family Voices Indiana, Indianapolis, IN
Region #5 – Wayne State University, Detroit, MI
Region #6 – University of New Mexico Center for Development and Disability, Albuquerque, NM
Region #7 – NAMI Kansas, Topeka, KS
Region #8 – Family Voices Colorado, Centennial, CO
Region #8 - North Dakota Center for Persons with Disabilities at Minot State University in  partnership with Family Voices of North Dakota, Minot, ND
Region #10 – PAVE Family to Family Health Information Center, Tacoma, WA  

We at the NDNRC congratulate these fine organizations and look forward to working with them through the coming open enrollment and the remainder of 2015 as we endeavor to increase enrollment of people with disabilities in the health insurance marketplaces. The COC initiative is part of the year 2 NDNRC grant which is made possible by the funding from the Robert Wood Johnson Foundation.

The NDNRC is an initiative aimed at providing cross-disability information and support to Navigators and other enrollment specialists thereby ensuring people with disabilities receive accurate information when selecting and enrolling in insurance through the Affordable Care Act Marketplaces. The NDNRC website can be found at: www.nationaldisabilitynavigator.org.

Preparing for #ACA Open Enrollment


Families will soon have the opportunity to enroll in health care plans, renew their plan, or change to a new plan in the Marketplace.  Open enrollment is from November 15, 2014 through February 15, 2015. Please note that families can enroll anytime if there have been “life changes” (e.g. lost employment and insurance) or if they are eligible for Medicaid or CHIP.

4-ways-to-applyEnrolling for the first time
There are 4 ways for families to apply.  Families can enroll online, by phone, with a paper application, or with in-person help in your community.
  1. Enroll online
    Go to https://www.healthcare.gov/get-coverage/,  enter your state, and click “apply.”  Fill out an application, find out if you are eligible for subsidies, Medicaid or CHIP, pick a plan and enroll.
  2. Enroll by phone
    Call the 24 hour Marketplace hotline at (800)318-2596 or TTY: (855)889-4325.
  3. Enroll using a paper application
    Applications are found at http://marketplace.cms.gov/applications-and-forms/marketplace-application-for-family.pdf.   Instructions if more information is needed are found at http://marketplace.cms.gov/applications-and-forms/marketplace-application-for-family-instructions.pdf.
  4. Enroll with in-person help
    To find help in their community, families can go to https://localhelp.healthcare.gov/.

Enrolling again
If they enrolled in a plan through the federal Marketplace last year, families will get a notice from their insurance company that will explain if they will automatically be enrolled in the same or similar plan, or if they need to pick a new plan.  The notice from the Marketplace will let them know if they are automatically going to get a subsidy again.
It is important for families to know that they may change their plan, even if they are automatically enrolled.  The steps are the same whether auto-enrolled or not:   Steps to pick a new plan are:
  • Log in at www.healthcare.gov.   In your Marketplace account, find a 2015 application with pre-filled data.
  • Use Update the application with any changes link.
  • Then get new eligibility results, including premium tax credits and other savings.
  • Pick any plan available to complete enrollment.
Families should examine their new plan even if they are automatically enrolled in the same plan, since the plan may have changed in important ways – in premiums, provider networks, deductibles, copayments, and/or benefits.  
Families should also go onto the Marketplace website to see what their subsidy level will be, even if one is automatically provided, because there are some cases where subsidies may change even if family income and their plan’s premiums have not changed. 

And it is important for families to report any changes in income, family size, or other circumstances, since such changes may change the subsidies, if any, to which they are entitled.  (If a family receives a subsidy to which they are not entitled, they will owe money to the government at the end of the year.)
It’s also important for families to remember that their children may be eligible or Medicaid or their State Children’s Health Insurance Program even if the parents are not.

Families may now have access to plans for the first time, want to renew the plan they had last year, or even change to a new plan. 

Resources:

Marketplace (English/Spanish)
Getting Help
by Lauren Agoratus, SPAN, NJ

Monday, October 27, 2014

Support for #CHIP (Children's Health Insurance) Funding

As an advocacy organization, Family Voices Indiana, together with Indiana American Academy of Pediatrics and Covering Kids and Families, authored a letter to Governor Pence asking for his support of CHIP funding. We are pleased that 28 organizations have signed on to the letter. We urge you to contact your legislators as well.


October 27, 2014

The Honorable Mike Pence

Office of the Governor

Statehouse

Indianapolis, Indiana 46204-2797

Dear Governor Pence:

As advocates, professionals, and families concerned about the health and well-being of Indiana’s children, we are writing to urge you to take action to ensure continued federal funding for Indiana’s Children’s Health Insurance Program (CHIP). 


The CHIP program was enacted in 1997 with strong bipartisan support. Since its inception, it has helped the children of working families who earn too much to qualify for Medicaid but too little to afford private health insurance by providing coverage and access to critical high quality health care services. Because of access to CHIP coverage, the number of low-income, uninsured children across the country dropped by an astounding 50%, from 25% in 1997 to 13% in 2012, and has boosted health outcomes and access to care for children.


Because of the support of leaders like you, 91.6% of children in Indiana were insured in 2012—a record high. Indiana’s CHIP program is a major part of this success story, providing health coverage to over 82,000 Hoosier children. According to an independent evaluation conducted on behalf of the Indiana Family and Social Services Administration (FSSA), in December 2012, enrollment in Indiana’s CHIP was at 82,660, with over 159,000 Hoosier children enrolled at some point during State Fiscal Year 2012. This evaluation states that Indiana’s CHIP program “has been more successful than many other states’ programs in lowering the uninsured rate among children in low income families,” and as a result of its success, places Indiana 10th best among states’ child coverage rates nationally. This success does not stop at mere coverage; it has resulted in better access to care for Hoosier children too. During SFY 2012, over two-thirds of Indiana’s CHIP enrollees had primary care and preventive dental visits—two services that are critical benchmarks of children’s health.


CHIP provides states with significant design flexibility to meet the needs of their populations. This unique structure has helped states tackle the costs of uncompensated care while reducing the numbers of uninsured children. Since the beginning, CHIP has maintained a proven track record providing child-specific care including developmentally-appropriate benefits, a full range of providers in network and affordable cost-sharing protections. Further, it has spurred highly successful state outreach and enrollment strategies with the end result being that nationally, children’s uninsurance has dropped to the lowest level in history. The importance of CHIP is more significant in states like Indiana with a large rural population; in 2012, Medicaid and CHIP covered 47 percent of rural children compared to 38 percent of urban children. 


Continued funding for Indiana’s CHIP Program is essential to carry on this positive coverage trend for children. Though Congress has authorized the program through federal fiscal year 2019, federal funding for the program is set to expire on October 1, 2015. As Indiana adjusts to a variety of health system changes, it is essential that Congress secure CHIP’s future so that children who depend on it remain insured. If Congress does not act, more than 7.8 million children across the country—more than 50% of those insured by CHIP—would lose their coverage by 2016, putting their families at risk for a steep increase in costs and a reduction in benefits. We fear that, without CHIP, Indiana’s uninsured rate would increase significantly and the health of Hoosier children would be in jeopardy.


We applaud the efforts you have taken to safeguard the health of Hoosiers, and in this spirit respectfully ask that you reach out to Indiana’s congressional delegation today to let them know why CHIP is so important to our state. Please ask members of Congress to support extending CHIP funding beyond federal fiscal year 2015. Your support of Indiana’s CHIP Program is critical to the program’s ongoing success and to the health and well-being of the children in this great state.


Sincerely,

Family Voices Indiana

About Special Kids

American Academy of Pediatrics - Indiana 


Chapter


American Cancer Society Cancer Action 


Network, Inc.


Child Health Improvement Partnership for 


Quality in Indiana (CHIP-IN)


Children's Bureau Inc.


Citizens Action Coalition


Cover Indiana Campaign


Covering Kids & Families of Indiana 


Goodwill of Central Indiana, Inc.


IU National Center of Excellence in 


Women’s Health


Indiana Association of United Ways


Indiana Catholic Conference


Indiana Coalition for Human Services


Indiana Community Action Association


Indiana Hospital Association


Indiana Immunization Coalition


Indiana Institute for Working Families


Indiana Minority Health Coalition


Indiana Perinatal Network


Indiana Resource Center for Families with 


Special Needs (IN*SOURCE) 


Indiana Rural Health Association


Indiana School Health Network


Indianapolis Jewish Community Relations 


Council


Isaac M. Willett, President, Indiana Health 


Advocacy Coalition 


March of Dimes - Indiana Chapter


Mental Health America of Indiana


National Association of Social Workers -


Indiana Chapter


Nurse-Family Partnership Central Indiana


SEIU Healthcare IL/IN/MO/KS


Theresa Rohr-Kirchgraber MD, President, 


American Medical Women’s Association


Indianapolis Physician Branch #107

Sunny Start Fact Sheets Now on Family Voices Indiana Website

The Early Childhood Meeting Place was originally developed and launched in 1998 as an online training events calendar for First Steps and early childhood special education providers. In 2005, the site experienced significant growth and expansion with generous support from the Indiana State Department of Health and its Sunny Start Initiative.

The Early Childhood Meeting Place will be shutting down on October 31, 2014. 

As the home of the Sunny Start Fact sheets, an alternate home was sought for this valuable resource for families and professionals. Family Voices Indiana is proud to be the new home for the fact sheets.

You can find the English fact sheets here and the Spanish ones here.

You can also use these overview sheets as a resource to the families you serve:

If you are an organization, you are welcome to link to our site for easy access to this resource.

Please let us know if you have any questions.

Thursday, October 23, 2014

Money Follows the Person-Community Integration and Habilitation #Waiver

To: Bureau of Developmental Disabilities Services (BDDS) Providers 
From: Julie Reynolds, Director, Bureau of Developmental Disabilities Services 
Re: Money Follows the Person-Community Integration and Habilitation Waiver (MPF-CIH) 

Date: October 23, 2014

In cooperation with the Division of Aging, the Bureau of Developmental Disabilities Services (BDDS) is excited to announce its participation in the Money Follows the Person (MFP) program beginning this month.
The MFP program is a federal grant awarded to help states move individuals from institutional settings to home- and community-based settings. The Division of Aging was awarded the MFP demonstration grant in 2007 to serve individuals who reside in nursing facilities and meet program and level of care requirements for the Aged and Disabled (A&D) or Traumatic Brain Injury (TBI) waivers. The Centers for Medicare and Medicaid Services (CMS) has approved the addition of individuals with intellectual and/or developmental disabilities, who reside in a qualified institution, meet program requirements and meet 
the eligibility and level of care requirements for the Community Integration and Habilitation (CIH) Waiver to participate in the MFP Grant.
The MFP program is designed to require a contracted entity perform all of the transition activities and case management services for the participation period. CareStar of Indiana, LLC, was the most recent winner of the Division of Aging’s Request for Proposal to provide services for the totality of Indiana’s 
MFP program, which includes the A&D, TBI and now the CIH waivers. The Division of Aging, through CareStar of Indiana, LLC, and BDDS will both work to identify individuals who may qualify for enrollment in the MFP-CIH program.
As of this month, providers who are currently enrolled as a CIH waiver provider will also qualify and be enrolled to serve participants of the new MFP-CIH program. Software updates completed on September 15 automatically added MFP-CIH for qualified providers. The MFP-CIH grant program will be identical to 
the CIH Waiver program in most ways, including:
 Medicaid eligibility
 ICF/IDD level of care eligibility
 Freedom of choice
 Hearings and appeals
 Objective Based Allocation
 Person Centered Planning
 Individualized Support Plan
 Cost Comparison Budget and Notice of Action
 Budget Review Questionnaire (BRQ) and Budget Modification Request (BMR)
 Service Definitions and Requirements
 Incident Reporting and Follow-Up Reviews
Individuals will be eligible for the MFP-CIH grant for 365 program days following their discharge from their institutional setting and will be eligible to transition to the CIH at the conclusion of their MFP-CIH grant period.
As an individual’s time in the MFP-CIH program comes to an end, they will be transitioned by BDDS staff to the CIH. BDDS staff will begin to work with individuals 90 days prior to the time their MFP-CIH will end in order to ensure an appropriate transition. As part of the transition, individuals will be given a 
choice of a new case management company to work with under the CIH Waiver. 
BDDS and the Division of Aging will announce additional training regarding provider billing at a later date. An updated Medicaid Waiver Services, codes and rates chart, effective October 1, is available on the BDDS webpage. Rates and services for MFP-CIH are identical to those for the CIH Waiver.

Questions regarding the MFP-CIH program may be directed to Juman Bruce (Juman.Bruce@fssa.IN.gov), the Indiana MFP project coordinator with the Division of Aging, and/or Emily Larimer (Emily.Larimer@fssa.IN.gov) with BDDS. Local BDDS district offices are also available to answer questions. More information on the MFP program can be found on the MFP webpage. 


Receiving a #Diagnosis: The Journey from Cope to Hope

Region 4 Midwest Genetics Collaborative is happy to share our new family video: Receiving a Diagnosis: The Journey from Cope to Hope.  Please click on the postcard below to view and feel free to share it with your networks.