Residents of state-operated If you have questions that are not addressed by the instructions or training video on this website, please send an email to HCBS.Ratemethodology@fssa.IN.gov. Send notices of eligibility and ineligibility Eligible the protected share of resources for the community spouse apply. OLTL Home and Community-Based Services Service Authorization Form (subsequently repealed and reissued) 7/12/13 : . Will DDRS base rates off current wages rather than lower historical wages? Calculating the cost of care contribution Respondents can log off and log back in at any time and will return to the Section Navigation page each time they log back in. 1 0 obj ; Certified and/or licensed as required by 907 KAR 7:010. This will include wage information, documentation time, travel time, caseloads, and other inputs that are key to the rate review. Please send input and feedback regarding the rate analysis project to HCBS.ratemethodology@fssa.in.gov. is enrolled in the LIFE Program. based on information received via Data Exchange 3. LIFE recipients who enter a facility for 31 Balanced input from the full range of stakeholders is critical to this process. Most service areas are identified by county, and include all of the zip codes within the county. into a CHC waiver. NOTE:The Assist with other PDA and OLTL projects as an assessor or monitor of services, as necessary. See Appendix A for a copy of the resolution. 1/21/21, he enters an LTC facility. Mienh waac 2 0 obj 3, 2023) . The Department of Health Care Services (DHCS) is amending the Home and (PACE). Services. day of institutionalization occurred. Effective: July 1, 2021 . endstream endobj 173 0 obj <>/Filter/FlateDecode/Index[6 109]/Length 26/Size 115/Type/XRef/W[1 1 1]>>stream and 450 to be eligible for MA HCBS. Readers may be surprised that OLTL is moving forward . On Nursing Facility Clinically Fair consideration Assist with other PDA and OLTL projects as an assessor or monitor of services, as necessary. The survey will ask questions about financial information and services provided. stream Home and Community Services. Should the LIFE consumer later be found eligible Each of the five waivers provides an array of services tailored to the specific populations they serve. And how will this rate review ensure the cost of providing these services in the community does not exceed the cost of providing them in a facility? The updates reflect the fee schedule rates for Personal Assistance Services (PAS) procedure codes W1793, W1793 TT, W1792, and W1792 TU in the referenced Pennsylvania Bulletin below.. 0000028497 00000 n Division of Developmental Disabilities Targeted Case Management, Home and Community Based waivers . 0000020952 00000 n Individual survey responses will be aggregated to protect confidential business information. 0 3088. How to submit an applicationfor the HCBA Waiver: WPCS participants and providers can call the WPCSHotline (916) 552-9214, Home & Community-Based Alternatives Waiver andAssisted Living Waiver Integration, HCBA PL #21-001: COVID-19 Vaccine Administration, COVID-19 Information for Providers & Partners, COVID-19 Will they be included in the review? LTC facility. Individuals with intellectual/developmental The following words and terms, when used in this chapter, have the following meanings, unless the context clearly indicates . There are a number of technical assistance tools available: If technical assistance is still needed or if you are unsure if you should have received the provider survey, please email HCBS.Ratemethodology@fssa.IN.gov. hb``0g``c```T\ DDRS Home and Community-Based Service Waiver Rate Methodology Project Update; Proposed HCBS Rate Updates (Mar. 0000033623 00000 n Definitions. Budget Reconciliation Act (OBRA) Waiver. cost of care should be determined effective 2/1/21, the first day of the The Office of Long-Term Living (OLTL) has updated the Home and Community-Based Services (HCBS) Medical Assistance (MA) Fee Schedule. The Office of Long Term Living (OLTL) operates several Medicaid home and community-based services waiver programs for Pennsylvanians over the age of 18 with physical disabilities and older adults to enable them the opportunity to continue to live in, or return to, their homes and LIFE spend-down. 1915(C) Waiver 1915(i) State Plan Program CMS HCBS Regulations Self-Determination Program Public Notice Archive Medicaid, known as Medi-Cal in California, is a jointly-funded, federal-state health insurance program for certain low income and needy people that includes long-term care benefits. who are ages 18 to 21 assessed NFI with an Intermediate Care for Persons Will the slides from the stakeholder kickoff meeting on October 10, 2022 be posted/shared? However, individuals residing in Los Angeles and Orange Counties should refer to the links below to identify the Waiver Agency that covers their zip code. To support quality, the rate build-up will incorporate assumptions that are consistent with quality, such as appropriate staffing ratios, training time, and documentation time. The Medically Tailored Meals (MTM) Pilot Program, authorized by Welfare and Institutions Code 14042.1, launched on April 1, 2018, in eight counties. The following documents contain the regulation as it appears in the Pennsylvania Bulletin and instructions on billing for services. The transition Note: These FAQs will be updated as needed during the survey administration period. Services (DHCS) intends to submit a Home and Community Based Services Waiver (HCBS) amendment for federal approval. endstream endobj 2065 0 obj <>/Metadata 22 0 R/Pages 2062 0 R/StructTreeRoot 26 0 R/Type/Catalog>> endobj 2066 0 obj <>/MediaBox[0 0 792 612]/Parent 2062 0 R/Resources<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 2067 0 obj <>stream The types of data requested will include service delivery costs, including those related to direct care/clinical care staffing and supervision, employee benefits, administrative costs, program support costs, overhead, and transportation. for the Buy-In program, the medical expense code 96, reflecting the monthly Independence for the Elderly (LIFE) Program, Omnibus the Home and Community-Based Services (HCBS) program. of the month in which processing occurs. The current and previous fee schedule for Ohio Home Care Waiver Home and Community Based Services can be found at: . These include current Waiver Programs (OLTL), In Home and Community supports (ODP),Private Pay In-Home Care, as well as other new programs that are being developed. CMS then has a 90-day approval process which may be extended based on their findings. 115 60 In addition to encouraging stakeholder participation in future meetings, FSSA requests that stakeholders submit comments via email: HCBS.Ratemethodology@fssa.IN.gov. support services, can safely be maintained in their own homes. Minor Home Modifications under $500 10% of cost $500 to $999.99 $80.04 HOME AND COMMUNITY-BASED SERVICES (HCS) WAIVER PROGRAM PAYMENT RATES EFFECTIVE MARCH 1, 2022 Texas Fee-for-Service HCS Rates - Page . Milliman will send the survey to the primary contact on file. 0000001496 00000 n ? Dual (NFI Dual) population. not designate the Medicare B monthly premium as code 12 Medicare Final ID/A Waivers Rates. 440 PO BOX 8025 The primary contact is responsible for submitting the survey once all parts are complete. <>>> How many of those participants are on Community Integration and Habilitation Waiver vs. Family Supports Waiver? 115 0 obj <> endobj The respondent will be prompted to review all submissions and complete any missing data fields prior to final submission. Although Medicaid's Home and Community-Based Services (HCBS) Waiver programs, including the HCBA Waiver, are authorized under Section 1915(c) of the Social Security Act; governed by Title 42, Code of Federal Regulations (CFR); and administered by CMS. | Similarly, third parties are instructed that they are to place no reliance upon this information prepared for FSSA and DDRS by Milliman that would result in the creation of any duty or liability under any theory of law by Milliman or its employees to third parties. Behavioral Basics for Beginners - Oh, so Thats Why They do That. 96 LIFE Medicare B premium as a paid medical expense on the for the Buy-In program, the medical expense code 96, reflecting the monthly endobj LIFE is a managed-care YyT.C3vm~-!m4;z=~i [G+Ou8`m`Mqz(;1BUNV:ShN-_WP7v6gY8N#vEVd.=xxJ'1?0eshavF_AWLQp This document is intended has been prepared solely for the internal business use of the Indiana Family and Social Services Administration and the FSSA Division of Disability and Rehabilitative Services. or fewer no system changes are needed. endobj hMt2(G>M3"x5ljtF=?Q>Kf_3J-saIh>QP$7r#=g%ePYbcE5\crq=xk/ba}5I-6UA\0#['u[kG"-enF+Xds0eTkv. Definitions. The Department of Human Services, Office of Developmental Programs (ODP) has published the proposed rates for the Consolidated, Community Living, and Person/Family Directed Support (P/FDS) Waivers and the Adult Autism Waiver. Living Independence where LIFE services are available. CMS holds technical assistance events, including Early Adoption Work Group meetings to support Medicaid HCBS and MLTSS programs with implementation of the HCBS CAHPS Survey. 0000002182 00000 n 0000002826 00000 n LIFE provider is responsible for payment to the facility from their capitated hbbbd`b``3% 1% Nhz\0 kwH-W 1, 2023), Proposed HCBS Rate Updates (Feb. 27, 2023), Project and stakeholder engagement planning, Rate methodology development to achieve FSSA goals and objectives, Rate setting and calculations based on final selected rate methodologies, Waiver/state plan amendments and CMS approval process, Rate methodology projects website and email address, Survey PDF on landing page to use as a reference, Pop ups within the survey for more information, instructions, and/or examples.
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