Wednesday, November 19, 2014

Understanding the #Health Coverage Needs of People with #Disabilities

 CMS webinar this Friday, November 21 at 2:00 ET. “Understanding the Health Coverage Needs of People with Disabilities.” The presentation will help you think about what questions a person with a disability needs to think about when they are considering their health care options in the ACA Marketplace. To register for the webinar click here.

Feel free to contact Family Voices Indiana 317 944 8982 if you need additional resources.

Monday, November 17, 2014

CIH #Waiver Amendment Comment Period

From: Nicole Norvell, Director, Division of Disability and Rehabilitative Services
Re: CIH Waiver Amendment 
Date: November 17, 2015

The Family of Social Services Administration’s Division of Disability and Rehabilitative Services (DDRS) and the Office of Medicaid Policy and Planning (OMPP) are drafting an amendment application for the Community Integration and Habilitation (CIH) Waiver and are requesting comments on the draft amendment.

The amendment application must be submitted to the Centers for Medicare and Medicaid Services (CMS) no later than December 31, 2014. DDRS has posted a draft of the CIH Waiver amendment, Draft ID # IN.006.03.01, for review and comment, on the Draft Polices for Public Comment webpage.

Proposed changes within the CIH Draft IN.006.03.01, are detailed in the Purpose of Amendment section at the beginning of the draft. Highlights include:
·         Extended Services is being proposed as a service that will provide ongoing employment supports which will enable an individual to maintain integrated competitive employment in a community setting. Extended Service will replace the existing service definition for Supported Employment Follow Along (SEFA). Extended Services includes many work- and community-based training and support options. Pre-Vocational services cannot be rendered at the same time as Extended Services. DDRS believes that the allowable activities within this new definition for Extended Services will provide for individuals to receive training on the skills they will need to maintain their job and thrive in the community. The definition for Extended Services is broader than the past definition of SEFA, ensuring that vocational skills training can now be provided away from the job site and, at times, in small groups. Additionally, due to changes occurring within the Vocational Rehabilitation (VR) program, the options for skill development to obtain employment are readily available for teams to utilize through the VR program. DDRS acknowledges that there are many individuals who will utilize this service who are currently receiving Pre-Vocational services, and these individuals will remain in both services for a six to nine month transition period so that DDRS, case managers, participants and families can work together to adjust plans of care.

·         Residential Habilitation and Support Daily (RHS Daily) is being proposed as a new residential service with a daily rate.
·         Community-Based Habilitation (Individual) will be capped at 10 hours monthly for users of RHS Daily.
·         Transportation service definition clarified to include that it may be used to access places of employment.
·         Reporting requirements for providers have been changed from monthly to quarterly.
·         DDRS posted the revised Home- and Community-Based Services Waiver (HCBS) Transition Plan and a summary of the last public comments within the CIH waiver amendment.
·         Participant-Centered Planning and Service Delivery was updated to reflect current practice and expectations as well as clarification of roles.
·         Risk Assessment and Mitigation now clarifies that the Individualized Support Team determines the party or parties responsible for development of risk plan(s).
·         Details on FSSA as the single state Medicaid Agency were updated reflecting the current roles and revised organizational structure of the State Medicaid Agency.
·         Roles and responsibilities have been clarified throughout the application.

Comments and suggestions will be received for a period of 30 days, beginning on November 17, 2014, and ending on December 17, 2014, and may be emailed to  or submitted in writing to:

DDRS Policies – MS 18
c/o The Division of Disability and Rehabilitative Services
PO Box 7083
402 W. Washington St., Rm. W451
Indianapolis, IN 46207-7083

Share Your VOICE about #HIP Proposal

Indiana Plan 1.0

We encourage the public to submit their comments on as they relate to demonstrations open for public comments. In support of transparency and open government, all public comments received are immediately posted and are in the public domain. Center for Medicaid and CHIP Services staff will review all public comments posted and we reserve the discretion to delete comments that are generally understood as any of the following: obscene, profane, threatening, or otherwise inappropriate.
Open for Public Comment – 10/21/14 – 11/20/14

Of note, the current HIP proposal waives non emergency medical transportation. If this, or other provisions, are important to you, please submit your comments by Nov 20

Share your VOICE about needs of mothers/families in IN

The Maternal and Child Health Division at the Indiana State Department of Health is currently conducting their 5- Year Title V Needs Assessment. An important component of this Needs Assessment is to receive input from partners, stakeholders, and community members to assess the current needs of women, children, and families in Indiana. If you would please take the time to complete this survey and provide details on the needs in your community, it would be greatly appreciated. 

The deadline to complete the survey is November 30, 2014. 

Friday, November 14, 2014

5 Steps to #GetCovered by the #ACA beginning Nov 15

Marketplace header

5 easy ways to get ready

This weekend, you’ll be able to sign up for 2015 health coverage through the Marketplace.
Open Enrollment begins on November 15th this year.
Here are 5 ways you can get ready right now:
Millions of Americans are already benefiting from Marketplace coverage. We want to make sure you join them.
The Team

Enroll by December 15th and coverage can begin on January 1st, 2015.

Be sure to check out our Health Care Reform Tab for resources for families raising children with special health care needs:

Thursday, November 13, 2014

#Medicaid #Waiver #Transition Plans - November 18 Conference Call, Webinar

Indiana is approaching 20,000 Hoosiers supported by the Family Supports (FS) Waiver and Community Integration and Habilitation (CIH) Waiver.  These programs, known federally as the Home and Community Based Services (HCBS) Medicaid Waiver program, have new federal rules designed to address how well people are integrated into their communities. 
Indiana’s Division of Disability and Rehabilitative Servcies (DDRS) and the Office of Medicaid Policy and Planning (OMPP) have developed two transition documents outlining Indiana’s plans to meet HCBS rules for both the FSW and 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 at the following links:
DDRS/BDDS is inviting families and individuals who receive Medicaid Waiver services to participate in a Webinar and/or conference call on Tuesday, November 18 to learn more about the transition plans.  The information sessions will take place:  
  • November 18,  10:00-11:30 am
  • November 18,  2:00-3:30 pm
  • November 18,  6:30-8:00 pm
To join the conference call, dial 877-422-1931 and enter: #2862446158 to access the audio.
To join the webinar, log on to:
If you do not have Internet access you can call in and listen to the information and then give feedback.
Waiver recipients were sent information this week inviting them to participate in the Webinar or conference call.  Please share this information with families to help ensure they are aware of this opportunity. 
Comments on the Medicaid Waiver transition plans will be accepted now through December 1, 2014 and may be emailed to  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

from The Arc of Indiana

Sunday, November 9, 2014

Time for a #Health Insurance Check Up

Now is the time to take a closer look your health care needs and options.

If you're uninsured or looking for more affordable health
insurance and haven't looked at the Marketplace, open
enrollment is the time to look. During “open enrollment”
you can purchase private health insurance coverage
through the marketplace in each state. Low and moderate
income people may be eligible for help to pay for the
health insurance coverage. People who have affordable
employer provided health insurance or are already covered
by Medicaid or Medicare cannot receive financial help
paying for private health insurance coverage. People who
lose their health insurance may also be able to sign up for new coverage during a special
enrollment period.

Do you already have health insurance through the Marketplace? 

If you do, you must re-enroll every year or you will be automatically re-enrolled. It is also
important to report any changes to your income to the marketplace.
 This is a good time to check your health insurance
coverage and see if it still meets your healthcare needs.
 Anyone can change health care plans during open
enrollment, but most people will be re-enrolled
automatically if they take no action.
 Carefully read all health insurance notices and updates.

You should check your coverage:
 Even if you like your health plan, new plans may be
available and premiums or cost sharing may have changed since last year.
 Even if your income has not changed, you could be eligible for more financial assistance

If you have a disability or a health condition, pay attention to possible changes
 Are a broad range of health care providers included in the health plan’s network of
 Are there enough medical specialists in the network to meet your needs?
 Are needed medications included in the plan’s list of covered drugs?
 Is there adequate access to non-clinical, disability-specific services and supports?
 Does the plan have service limits, such as caps on the number of office visits for therapy
 Are mental health services covered to the same extent that other “physical” health
benefits are covered?

Where to get help?

Health insurance can be complicated. If you or your family member needs assistance with
understanding the options, can help. This website has information about seeking
assistance in local communities, explanations of health insurance terms, enrollment information
and much more. There is also a 24-hour phone line for consumer assistance at 1-800-318-2596
to call for help.

Each state has health insurance “navigators” to assist individuals with enrollment in health
insurance. Individual health plan information should be available in early November 2014 on the
website. If you would like more information on specific topics, the National Disability Navigator
Resource Collaborative ( has a comprehensive set of
materials available on disability issues and the Affordable Care Act.