Thursday, April 15, 2010

Changes to Autism, DD and Support Service Waivers Reimbursement Rates

TO: Families, providers, and stakeholders who support individuals with disabilities in Indiana
FROM: Julia Holloway, DDRS Deputy Director and Chief of Staff
DATE: April 15, 2010
RE: Changes to Autism, DD and Support Service Waivers Reimbursement Rates

The priority of the Division of Disability and Rehabilitative Services (DDRS) is to support the health and welfare of individuals with disabilities in Indiana. To accomplish this goal, we must make practical decisions and maintain fiscal responsibility to be able to continue to meet the needs of our program participants during these harsh economic times.

We last announced a change to our waiver rate structure on November 24, 2008
(http://www.in.gov/fssa/files/RHS_BULLETIN_OA20081124_-_Final.pdf). Due to the current state of the economy, all state agencies are reviewing internal and external expenditures to determine potential cost savings, including contracts, administrative costs and service fees. DDRS has responded with a number of cost saving measures, including a reduction or elimination of various service contracts and savings from the co-location of our Bureau of Developmental Disabilities Services (BDDS) and Vocational Rehabilitation Services (VRS) offices.

Beginning June 1, 2010, the rates listed below will be in effect for Residential Habilitation Services (RHS1 and RHS2), Respite Services, Facility Habilitation (Individual), and Community Habilitation (Individual). The November 24, 2008 announcement outlines the rules for the use of these services; those rules remain unchanged.
RHS 1 (under 35 hours/week) $23.24/Hour
RHS 2 (over 35 hours/week) $19.52/Hour
Respite Services $23.24/Hour
Facility Habilitation (Individual ) $23.24/Hour
Community Habilitation (Individual) $23.24/Hour

Once implemented, these new rates will be reflected in the appropriate budgets and allocations; however, this will not result in a reduction of service hours. For example; a consumer currently receiving 200 hours of service will continue receive 200 hours of service after the rate change.

Together, over the previous five years we have brought over 4,200 people on to waivers without significant budget increases. Today’s economic environment creates significant challenges for us all. Going forward, DDRS will continue to search for ways to reduce spend without impacting services. We welcome your suggestions in this endeavor.

Thank you

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