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Showing posts from April 7, 2019

IHCP clarifies coverage for Hoosier Healthwise members during retroactive eligibility period

As part of a collaborative workflow improvement project with stakeholders, the Indiana Health Coverage Programs (IHCP) is issuing a clarification to IHCP Banner Page BR201839. Members determined as retroactively eligible under Hoosier Healthwise aid categories do not receive a managed care assignment for the retroactive eligibility period.

Instead, during the retroactive period, member benefits are covered through the fee-for-service (FFS) delivery system.

However, the exception to this policy is for newborns whose mothers were enrolled with a managed care assignment on the date of the child’s birth. In this case, the baby is assigned to the mother’s managed care entity (MCE), retroactively effective to the date of birth. The mother’s and the baby’s coverage remains with the MCE during the baby’s retroactive period. Once a Member ID is assigned to the baby, providers may send claims for the baby’s care to the mother’s MCE. Prior authorization (PA) for services may be required.

 Provi…

FSSA announces new member eligibility system

The Indiana Family and Social Services Administration (FSSA) will begin deployment of a new internal system for member eligibility for benefits, including healthcare, at the end of April 2019. The new eligibility system is called the Indiana Eligibility Determination and Services System (IEDSS). This new system replaces the current Indiana Client Eligibility System (ICES). The FSSA Benefits Portal will appear the same to members and authorized representatives. However, members with fully open cases will be receiving a new case number when their cases convert through IEDSS. At that time, authorized representatives will need to use the client’s new case number when accessing his or her case information through the FSSA Benefits Portal or when calling the Division of Family Resources (DFR). Providers will not notice a change on the eligibility options used to verify member eligibility - IHCP Provider Healthcare Portal, 270/271 electronic transactions, or the Interactive Voice Response (…

WHAT I WANT FUTURE TEACHERS TO KNOW ABOUT STUDENTS WITH DISABILITIES

August 25, 2015 By  One of my favorite things about writing on disability is that it ignites conversations and sparks perspective shifts (both mine and others) in seemingly endless ways. Recently, I got an email from someone I connected with last year at a conference, and the questions she asked got my wheels turning. I knew I wanted to respond in a blog post. I hope that sharing my answers will in turn open a dialogue for other people to share their thoughts on the subject. The email read: “Since we met last year at the AUCD conference, I have completed my PhD and landed my first assistant professor job. I am writing because I would like your input on how to address vocabulary with my students. I am a certified ‘special’ education teacher. Textbooks for my courses have either ‘special’ or ‘exceptional’ in the titles. The laws and legislation include the same vocabulary. From your perspective, how can I address the ‘special’ vocabulary? What are the three (or more) main con…

#Transition Planning

from CPIR:
A Trio from CPIR Transition Planning: Let's Get Started By law, transition planning must begin no later than the student's 16th birthday. See what else is required, what services are available through the public school, what domains of adulthood to explore, other options a youth might consider (more education, say, or vocational training), and much more. Employment Connections Just updated as part of our spring cleaning! Want to know more about job coaches and reasonable accommodations? What about supported employment?

Stand Up for Pre-Existing Conditions and the ACA!

Dear Partners,

In a stunning 2-sentence letter drafted by the Department of Justice, the Trump administration altered its position on Texas v. Azar, arguing that the entire Affordable Care Act (ACA) should be invalidated. This administration’s extreme position places millions of people at risk of losing their health coverage and their pre-existing conditions protections. Now is the time to make sure this threat is highlighted in the media and that consumers—and their elected officials—know just what is at risk. Attorneys general have until April 24 to submit an amicus brief opposing this lawsuit.

Last week, the Republican attorneys general from Ohio and Montana added their names to the growing bipartisan list of attorneys general speaking out against this lawsuit, crossing party lines to defend the ACA and protect more than 130 million people. Consult this chart to see if your state’s attorney general has already submitted an amicus brief to dismantle the ACA, uphold it, or thus far, st…

Comprehensive Positive School Discipline Resource Guide Available

In an effort to support schools seeking resources and guidance in developing and implementing a comprehensive positive school discipline plan, IDOE is releasing this resource guide to walk schools through the ins and outs of a positive behavior system. Whether starting from scratch, building on a foundation, or just making a few tweaks to an already effective plan, this resource guide will be a valuable resource. Please contact Robin LeClaire or Christy Berger with questions or assistance.