Monday, January 4, 2016

CIH #Waiver Amendment

from DDRS:

On January 4, 2016, the Division of Disability and Rehabilitative Services (DDRS) submitted a proposed amendment to Indiana’s Community Integration and Habilitation (CIH) waiver, which is available on the CIH Transform webpage. Public comment was solicited to obtain input and feedback regarding the proposed waiver changes from November 25 through December 28, 2015. Additionally, several conference call/webinar session opportunities were offered to stakeholders to participate in an open dialogue regarding the proposed changes. 

The Division is also posting to the CIH Transform webpage, a comprehensive public comment log which details the comments and feedback provided during the public comment period. The Centers for Medicare and Medicaid Services (CMS) has 90 calendar days to review and respond to Indiana’s proposed waiver amendment. DDRS is very appreciative of the thoughtful consideration, comments, and input shared during this process from parents, participants, providers and system stakeholders. 

DDRS received a number of comments regarding elements of the proposed waiver amendment that were ultimately revised prior to the submission of the waiver. 

These changes were made based on the public comments received: 

 The Enhanced Residential (ERL) Service definition was revised to remove the proposed Wellness components and transportation that was originally bundled into the service. 

 Additionally, the proposed funding approach to support this residential service, utilizing an average household Algo calculation, will not be pursued. Alternatively, the rates will be congruent with the current daily rates for RHS Daily Service, which provides a daily rate to deliver each individual’s support needs. The resulting service proposed is very similar to the existing RHS Daily Service, with the expansion of additional eligible recipients now able to utilize this service. 

The comments received regarding these proposed amendment areas are included within the detailed public comment log for reference; however individualized responses to these elements of the waiver amendment are not included as they are no longer relevant or applicable due to the nature of the revisions made in the final proposed amendment.

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