Wednesday, December 3, 2014

FSSA is prepared to extend current #HIP program effective January 1, 2015

The Indiana Family and Social Services Administration (FSSA) submitted two demonstration waiver applications to the Centers for Medicare & Medicaid Services (CMS) in July 2014:

 The first was an application to expand the Healthy Indiana Plan (HIP) to provide consumer-driven healthcare to a greater number of nondisabled Hoosier adults. This proposal is known as “HIP 2.0.”

 As a contingency measure, the FSSA also submitted an application to extend the existing HIP program, sometimes referred to as “HIP 1.0,” for another three years.

The latter application was presented to preserve the HIP program and
to protect current HIP enrollees from any potential gaps in coverage
pending approval of the HIP 2.0 proposal. On November 14, 2014, the
CMS approved the FSSA’s waiver application to extend the existing
HIP program through 2015.

The approved waiver does not make any changes in benefits, cost
sharing, or reimbursement with the extension of the current HIP
program. The waiver authorizes the State to continue to operate under
the managed care model currently in place without interruption
effective January 1, 2015. Provider contracts with managed care
entities (MCEs) should extend along with the HIP 1.0 program.


The FSSA continues to await approval from the CMS on the HIP 2.0
waiver and is preparing to implement the program if approved. Watch upcoming Indiana Health Coverage Programs(IHCP) publications for more information about the HIP waiver approvals.

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