Monday, May 9, 2016

Rate Changes to FS and CIH waiver services

Family Voices Indiana shares this information with families so they can discuss it further with their child's case manager. When rates for services increase and the individuals budget does not increase, it often means a reduction in service hours. Under the Family Supports Waiver, you must work within the budget limitations. Under CIH, you can request a budget modification. 
Again, be sure to discuss this with your child's case manager

from DDRS:

On July 1, 2016, new rates will be in effect for Community Habilitation – Individual (CHIO), Facility Habilitation – Individual (FHIO) and Respite for both the Family Support and Community Integration and Habilitation Waivers. Residential Habilitation Services (RH10, RH20 and RHS Daily) will have new rates under the Community Integration and Habilitation Waiver. The Division of Disability and Rehabilitative Services’ will post an updated rate chart on its announcements Web page. While these rates are being implemented across both waivers, the Bureau of Developmental Disabilities Services (BDDS) anticipates only a small number of individuals may be immediately impacted by the new rates. This group of individuals may see a change in their Cost Comparison Budgets (CCBs) that will result in a need for the individual’s support team to meet to determine if the service package continues to meet the needs of the individual. Although the new rates do not go into effect until July 1, 2016, BDDS will convert to the new rates in late May to give case managers and providers an opportunity to review the changes prior to the July 1 conversion. 

The information below includes the required action steps of case managers for this conversion process and the implementation timeline. 

Required Action Steps for Case Managers:  May 27, 2016, at 4:30 p.m. EST, all case managers must be out of INsite. INsite will not be accessible until May 31, 2016, at 8 a.m. EST.  May 27 - 30, 2016, conversion of rates will take place in the INsite system. The conversion process will update rates and create a new CCB and Notice of Action (NOA). 

 For the Family Supports Waiver: o The hours of CHIO, FHIO and Respite may be adjusted so that individuals CCBs will remain at the $16,545 cap for this waiver.  When more than one of these services is being provided each service may be reduced proportionately. o Once the conversion take place, case managers must review CCBs with the team to determine if there is a need to update an individual’s CCB based on the rate changes to maintain the services the individual needs. 

 For the Community Integration and Habilitation Waiver: o The hours of CHIO, FHIO and Respite may be adjusted so that individuals’ DAYS Reserve will remain at the allocation for the individual (i.e., $5,500; $10,500; $18,000 respectively).  For individuals who have a DAYS reserve above the normal allocations ($5,000, $10,500 or $18,000) the hours of CHIO, FHIO and Respite will be adjusted to bring the DAYS reserve to the level it was prior to the rate restoration.  When more than one of these services is being provided each service may be reduced proportionately.  For RHS 10, RHS 20 and RHS Daily the Objective Based Allocation (OBA) and the RHS allocation will be increased to reflect the number of hours the individual is currently receiving. RHS hours will continue to be provided at the levels required set forth in 460 IAC 13-5-1 and 13-5-2.  Once the conversion takes place, case managers must review CCBs with the team to determine if there is any need to update an individual’s CCB based on the rate changes to maintain the services the individual needs.  Budget Modification Requests (BMRs) will be denied if the date of the foundation CCB is July 1, 2016, or later regardless of the BMR date. 

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