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Showing posts from November 1, 2015

#Waiverwise: Family and Caregiver Training

Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.

More information, including service costs, available in the manual: http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf

Family and Caregiver Training

Family and Caregiver Training services provide training and education in order to: 
 Instruct a parent, other family member, or primary caregiver about the treatment regimens and use of equipment specified in the ISP and 
 Improve the ability of the parent, family member, or primary caregiver to provide the care to or for the individual. 

Reimbursable Activities include the following: 
 Treatment regimens and use of equipment 
 Stress management 
 Parenting training specific to the disability of the child 
 Family dynamics training specific to the disability of the child 
 Community integration 
 Behavio…

#Waiverwise: Facility-Based Support Services

Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.

More information, including service costs, available in the manual: http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf

Facility-Based Support services

Facility-Based Support services are facility-based group programs designed to meet the needs of participants with impairments through individual POC. These structured, comprehensive, nonresidential programs provide health, social, recreational, therapeutic activities, supervision, support services, and personal care and may also include optional or nonwork related educational and life skill opportunities. Participants attend on a planned basis. Facility settings are defined as non-residential, non-integrated settings that take place within the same buildings for the duration of the service rather than…

Introducing Our Newest Specialists!

Family Voices Indiana is dedicated to serving families across Indiana. We recently hired two new specialists we'd like to introduce: Carol Crawn is one of our Health Information Specialists for Central Indiana. She has experience in many areas related to individuals with special health care needs. Carol taught special education for 7 years before taking on her current role as a Family Support Liaison for a virtual charter school. She worked as a First Steps service coordinator prior to teaching. In college, she worked at a mental health care facility where she focused on helping adolescents.  She and her husband have two children, Faith and Will. Carol lived a majority of her life in Terre Haute before moving to the Indianapolis area. Her family relocated to Indianapolis in order to find health care and service providers for Faith. Faith is diagnosed with autism, seizures and food allergies.   Carol’s passion is to help families find the services and care needed for their loved one w…

Programs to Help with Medical Expenses

By Kerry Bonney

Help!  I have insurance, and I’m still drowning in medical bills!

Medical bills for children with special healthcare needs add up fast.  Even when a family has private insurance, co-pays and deductibles can be overwhelming on the budget.  There are, however, programs in addition to private insurance that offer relief to families.  The purpose of this article is to highlight a few of these programs.

Medicaid or Medicaid Disability can be utilized as a secondary payer to private insurance, and so families should consider applying to the Medicaid program for the child in need of services.  An application can be done online or at the local Division of Family Resources office.  Eligibility will consider income and assets.

Children’s Special Healthcare Services, or CSHCS, is a program administered by the Indiana State Department of Health that supplements Medicaid or other coverage; the child qualifies for the program by diagnosis, as well as income.  The income guidelines are …

Find an #ACA Navigator or Enrollment Event

It's Open Enrolment. Do you need help with an #ACA Marketplace Plan?

Find a Navigator here: http://www.in211.org/services/health/find-a-healthcare-navigator/ or http://www.in.gov/healthcarereform/2468.htm
Find Enrollment and Education Events here: http://www.in211.org/events/
Feel free to call us if you need resources for those with special health care needs or disabilities: 317 944 8982 info@fvindiana.org

#Waiverwise: Facility Based Habilitation

Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.

More information, including service costs, available in the manual: http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf

Facility-Based Habilitation

Facility-Based Habilitation Services are services provided outside of the participant’s home in an approved facility that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living, and social skills. Facility settings are defined as non-residential, non-integrated settings that take place within the same buildings for the duration of the service rather than being out in the community.

Group size limitations:
 Small (4:1 or smaller)  Medium (5:1 to 10:1)  Larger (larger than 10:1 but no larger than 16:1)  

- Ind…

#Waiverwise: Community Based Habilitation

Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.

More information, including service costs, available in the manual: http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf

Community-Based Habilitation Services (Group or Individual)

Group are services provided outside of the participant’s home that support learning and assistance in the areas of self-care, sensory/motor development, socialization, daily living skills, communication, community living, and social skills. Community-based activities are intended to build relationships and natural supports. Community settings are defined as non-residential, integrated settings that are primarily in the community where services are not rendered within the same buildings with non-integrated (segregated) participants. 

The following are limitations on group siz…

#ACA Get Covered Plan Explorer Tool

from Enroll America:

For the start of the third open enrollment period, we've launched a new tool: the Get Covered Plan Explorer.Here's how the tool makes it easier for users to pick the health plan that best fits their needs and budget:
It gives people free, personalized estimates of how much they would spend -- not just on premiums, but also out-of-pocket costs -- under each marketplace plan available in their area.Users can also get information about which plans cover their favorite doctors.If you're an enrollment assister, you can use the tool in your appointments with consumers.To make sure as many consumers as possible know about this free resource, you can embed the tool on your website at no cost. Click here to see the Plan Explorer in action and learn more about how it works.

Want to dig deeper? Register here for a webinar walking through the Plan Explorer

#Waiverwise: Behavior Supports

Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.

More information, including service costs, available in the manual: http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf
 Behavioral Support Services Service Definition
Behavioral Support Services means training, supervision, or assistance in appropriate expression of emotions and desires, compliance, assertiveness, acquisition of socially appropriate behaviors, and the reduction of inappropriate behaviors. 
Reimbursable activities of Behavioral Support Services include   Observation of the individual and environment for purposes of development of a plan and to determine baseline   Development of a behavioral support plan and subsequent revisions   Obtain consensus of the individualized support team (IST) that the behavioral support plan is feasible fo…

#Waiverwise: Adult Day Services

Waiver services should be person centered. You will create a Service Plan within the budget limit ( $16,545 annually for FSW). There is more information available on this process in the waiver manual.
More information, including service costs, available in the manual: http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf
Adult Day Services Service Definition
Adult Day Services (ADS) are community-based group programs designed to meet the needs of adults with impairments through individual plans of care. These structured, comprehensive, non-residential programs provide health, social, recreational, and therapeutic activities, supervision, support services, and personal care. Meals and/or nutritious snacks are required. The meals need not constitute the full daily nutritional regimen. However, each meal must meet one-third of the daily Recommended Dietary Allowance. These services must be provided in a congregate, protective setting in one of three av…

#Waiverwise: Learning about Medicaid Waiver Services

We get a lot of questions from families who finally receive the waiver and are not sure what exactly this means. 

We've created a waiver journey series to help you with each step of the way:


Family Support Waiver Journey - Part 1
Beginning Your Journey Family Support Waiver Journey - Part 2
Completing Your Journey - After you've been targeted. Family Support Waiver Journey - Continues Selecting Providers and Services Family Support Waiver Journey Flow Chart
Your case manager, once you choose one, should be able to help you understand the services available and what they offer. There's also a waiver manual you can ask for that has all of this information in it: http://provider.indianamedicaid.com/ihcp/manuals/DDRS%20HCBS%20Waiver%20Provider%20Manual.pdf

In an effort to help you become a better-educated consumer, we're going to share information about waiver services, with a focus on those under the Family Supports Waiver since that's what most families will receive. Howeve…