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Showing posts from July 5, 2015

CIH Waiver Amendment

DDRS released this announcement regarding the CIH waiver amendement. We've highlighted the parts we feel are most relevant to families, but you can read the entire announcement here: http://www.in.gov/fssa/files/Community_Integration_and_Habilitation_Waiver_Amendment_7.9.15.pdf

Effective July 1, 2015, the Centers for Medicare and Medicaid (CMS) has approved the Indiana Family and Social Services Administration’s request to amend the Community Integration and Habilitation Waiver (CIH), which is administered by the Division of Disability and Rehabilitative Services (DDRS).

Services changes:
 Adult Day Services - removed requirement for 3-hour minimum and now allows billing in quarter hour units from one quarter hour unit up to the maximum 12-hours per day
 Community Based Habilitation - Individual (CHIO) - will be limited to ten (10) hours per month from their residential provider for participants who also utilize Residential Habilitation and Support (RHS) Daily services
 Electro…

Family Supports Waiver Renewal

DDRS released this announcement regarding the FS waiver renewal. We've highlighted the parts we feel are most relevant to families, but you can read the entire announcement here: http://www.in.gov/fssa/files/Family_Supports_Waiver_Renewal_7.9.15.pdf

Effective April 1, 2015, the Centers for Medicare and Medicaid (CMS) has approved the Indiana Family and Social Services Administration’s request to renew the Family Supports Waiver (FSW), which is administered by the Division of Disability and Rehabilitative Services (DDRS)

Services changes:
 Required accreditations are to be specific to Indiana programs
 RN/LPN licensures are to be Indiana licensure
 Adult Day Services - removed requirement for 3-hour minimum and now allows billing in quarter hour units from one quarter hour unit up to the maximum 12-hours per day
 Case Management - added the need for Accreditation and revised requirement that case notes need to be at least monthly (no longer weekly) or more often as encounters o…

What Can Families Do to Avoid “Surprise” Medical Bills?

by Lauren Agoratus
Most families are familiar with managed care and understand that they have better health care coverage if they stay within their plan’s network.  However, even when families go to network hospitals, they are sometimes hit with surprise medical bills. How Does This Happen? Even if a hospital is in a family’s plan network, not all of the providers who provide services at the hospital may be in the network.  It is important that parents know if individual doctors are also participating in the plan.  This can be important to know for routine visits to a children’s hospital as well as for in-patient or emergency care. In-Patient Care Parents may have been diligent in finding both a hospital and also a provider who works there in their plan’s network.  However, if their child needs surgery or other care, it is possible that the anesthesiologist, for example, may not be participating in their plan.  Then the family receives an “out-of-network” bill. Emergency Care The situati…

Autism and Middle School: Surviving and Thriving by Cristy James

We just signed my son up for classes at the high school next year, and as we
look forward to this new phase in his life, I reflect back on his years in the middle school.
There were many trials and tribulations, but he has also matured and gained new skills
and for that I am grateful. I decided to write this article to share with others some of
the things that did and did not work well during these years – years that are difficult for
ALL kids. It is by no means a definitive listing of all you will need for middle school, but
my hope is that it may give you some insight into what you can try with your own child.
For background information, my son has high-functioning autism and struggles with
anxiety and depression. He attends school in the general education classroom, with
the support of an aide available in the room. One of our main goals for these years
was to foster as much independence as possible. I will use the term “we” to refer to
my son and the host of people who helped support him, in…