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Showing posts from November 15, 2015

#Waiverwise: Helpful Hints for Participants and Guardians Selecting Waiver Providers

Here are some tips on selecting a provider (member guidance is included in this section for provider reference): 

 Selecting good providers is critical. It is helpful to think about the issues that are important to you and your family member before you begin the process. A list of certified waiver providers for each county is available through your Case Manager. If you are new to waiver services, or your current agency has terminated your service, you need to prioritize the providers and try to schedule interviews and visits within a short time frame, so the process does not become extended. Individuals who are new to the waiver program are asked to select a provider within 14 calendar days of receiving the pick list. Individuals who have been terminated by the current provider must select and transition to a new provider within 60 calendar days of termination. 

 You will be able to make an informed choice by reading information, such as the DDRS Home and Community-Based Waiver Provid…

Preparing for the 2016 #Legislative Session

On Tuesday, members of the Indiana General Assembly gathered at the statehouse for Organization Day.  Legislators were assigned to committees and bills may be filed beforeDecember 10. Below are some resources to help you prepare for the start of session. Interim study committee final reports may be posted.Check for legislative events near you with the Third House Calendar. Examples include:12/1 - Dearborn County12/2 - Greater Ft. Wayne12/4 - St. Joseph County12/11 - Hamilton County12/11 - Muncie/Delaware CountyKey dates for session Org Day - 11/17Bill request deadline -12/11First Day of session - 1/5Bill filing deadline; State of the State - 1/12State of the Judiciary - 1/13Committee report deadline - 1/282nd reading deadline - 2/23rd reading deadline - 2/3Committee report deadline - 2/292nd reading deadline - 3/23rd reading deadline - 3/3Conference Committee begin - 3/7Sine die - 3/14 republished from the The Indiana Association of United Ways

#Waiverwise: Case Management

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

Case Management

Case Management services means services that enable a participant to receive a full range of appropriate services in a planned, coordinated, efficient, and effective manner. Case Management assists participants in gaining access to needed waiver and other Medicaid State Plan services, as well as needed medical, social, educational and other services, regardless of the funding source for the services to which access is gained. Case Management services must be reflected in the Individual Support Plan (ISP) and must address needs identified in the person-centered planning process.
Reimbursable activities under Case Manag…

#Waiverwise: Workplace Assistance

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

Workplace Assistance
Workplace Assistance services provide a range of personal care services and/or supports during paid competitive community employment hours and in a competitive community employment setting to enable waiver participants to accomplish tasks that they would normally do for themselves if they did not have a disability. Assistance may take the form of hands-on assistance (actually performing a personal care task for the participant) or prompting the participant to perform a personal care task. Workplace Assistance services may be provided on an episodic or on a continuous basis. Workplace Assistance services are desi…

#Waiverwise: Transportation

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

Transportation

Transportation services (as specified in the FSW) enable waiver participants to gain access to any non-medical community services, resources/destinations, or places of employment, maintain or improve their mobility within the community, increase independence and community participation, and prevent institutionalization as specified by the ISP and POC. 


Reimbursable activities under Transportation services (as specified in the FSW) include the following: 
 Two one-way trips per day to or from a non-medical community service, resource or place of employment as specified on the ISP and provided by an approved provider of …

#Waiverwise: Supported Employment Follow Along

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

Supported Employment Follow Along

Supported Employment Follow Along (SEFA) services are services and supports (time-limited to 18 months per employment setting), that enable a participant who is paid at or above the federal minimum wage to maintain employment in a competitive community employment setting. The 18-month clock begins with the start date of the SEFA service as it appears on the approved POC/CCB and Notice of Action (NOA). Note that the 18-month clock does not begin with the date the service is first rendered or with the date the service is first billed for this time-limited service, unless those dates correspond to the …

#Waiverwise: Specialized Medicaid Equipment

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

Specialized Medical Equipment and Supplies

Specialized Medical Equipment and Supplies services are specialized medical equipment and supplies to include devices, controls, or appliances, specified in the POC, which enable individuals to increase their abilities to perform activities of daily living, or to perceive, control, or communicate with the environment in which they live and without which the individual would require institutionalization. Waiver services must approve all specialized medical equipment and supplies prior to service being rendered. 

Reimbursable activities under Specialized Medical Equipment and Supplies services…

#Waiverwise: Respite Care

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

Respite
Respite Care services are services provided to participants unable to care for themselves. Respite Care services are furnished on a short-term basis in order to provide temporary relief to those unpaid persons normally providing care. Respite can be provided in the participant’s home or place of residence, in the respite caregiver’s home, in a camp setting, in a DDRSapproved day habilitation facility, or in a non-private residential setting (such as a respite home).
Reimbursable Activities:
 Assistance with toileting and feeding   Assistance with daily living skills, including assistance with accessing the community and commu…