Wednesday, September 5, 2012

Waiver changes effective Sept 1

Family Voices Indiana reminds its members that new changes to the DD waiver system in Indiana went into effect on Sept 1. We are posting this information as a review of the changes outlined in previous DDRS communications.

Important facts about the Waivers:

1. If a person is currently on the wait list for any of DDRS’ waivers- Autism (ASD), Developmental Disabilities (DD), or Support Services (SS), he/she will be moved to the FSW wait list and targeted for the FSW by the earliest application date that he/she has submitted. They will not have to re-apply for any waiver, and their position on the list will be the same as it was on the Autism, DD, or SS wait lists.

2. If a person is currently on the Support Services (SS) waiver he/she will automatically begin receiving services through the Family Supports Waiver (FSW). These individuals will receive the same services and benefits as they were on the Supports Services waiver, as the new waiver is exactly the same, only named differently and includes two more services and an increased cap. They will not need to do anything.

3. If a person is on the Autism or the DD Waiver, he/she will automatically begin receiving services through the Community Integration & Habilitation (CIH) waiver. These individuals will receive the same services and benefits as they were on the Autism or DD waivers, as the new waiver is exactly the same, only named differently. They will not need to do anything.

4. Effective Sept 1 2012, there will be an increase in funding (from $13,500 to $16,250) on the Family Supports Waiver. The FSW is a capped waiver, but soon will be expanding to cover direct care service for in-home support.

The criteria for the FSW are the same that are required for receiving any services through DDRS’ waiver program. Individuals meeting the state criteria for a developmental disability and meeting the criteria for an ICF/ID level of care determination are eligible to receive waiver services. “Developmental
Disability" means a severe, chronic disability of an individual.


Is attributable to intellectual disability, cerebral palsy, epilepsy, or autism; or any other
condition (other than a sole diagnosis of mental illness) found to be closely related to intellectual
disability,


Is manifested before the individual is twenty-two(22) years of age.


Is likely to continue indefinitely.


Results in substantial functional limitations in at least three (3) of the following areas of major
life activities:


Self-care.


Understanding and use of language.


Learning.


Mobility.


Self-direction.


Capacity for independent living


The CIH waiver is a needs-based waiver, which means that an individual must meet one of the following priority criteria:

Eligible individual in other setting whose health and welfare is threatened


Eligible individuals transitioning to the community from nursing facilities, extensive support needs homes, and state operated facilities.


Eligible individuals determined to no longer need/receive active treatment in group home


Eligible individuals transitioning from 100% state funded services


Eligible individuals with loss or incapacitation of the primary caregiver


Eligible individuals with an aging primary caregiver


Eligible individuals aging out of Department of Education, Department of Child Services, or Supported Group Living


Emergency Placement


Eligible individuals requesting to leave a Large Private Intermediate Care Facilities/Intellectual Disabilities (ICFs/ID)


Eligible individuals transitioning from Crisis Management and meet certain other criteria


Process for applying for FSW:

To apply for the Family Supports Services Waiver, the individual or guardian must complete, sign, and date an Application for Long Term Care Services (State Form 4594) including the time of day that the application is signed. An individual who has not already applied for waiver services may also need to complete, sign, and date a DDRS Referral and Application (State Form10057) located at http://
www.in.gov/fssa/ddrs/3349.htm. Other individual or agency representatives may assist the individual or guardian in completing the application form and forward it to the BDDS office service the county in which the individual currently resides. The application may be submitted in person, by mail or by fax.

Process for getting CIH:

To be placed onto the CIH waiver, which is a needs-based waiver, an individual must meet one of the
priority criteria for emergency access


FSSA has approved four entities to provide case management as a waiver service beginning September 1, 2012
  • Advocacy Links, LLC574-229-5065
  • The Columbus Organization610-592-0292
  • Indiana Professional Management Group, Inc. (IPMG)317-585-5944
  • Unity of Indiana317-458-0113

You can find additional information on our blogwebsite, or at scribd:  http://www.scribd.com/doc/97459004/DDRS-FAQ-to-proposed-changes-to-DD-Autism-waivers 

Feel free to contact us with questions or concerns.......317 944 8982   info@fvindiana.org


No comments: