Community Integration Habilitation Waiver new daily rate billing

For the original publication, please click here. The following is a text version of the original publication.
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To: Division of Disability and Rehabilitative Services’ Providers
From: Cathy Robinson, Director, Bureau of Developmental Disabilities Services
Re: Community Integration Habilitation Waiver new daily rate billing
Date: June 25, 2015

On June 22, 2015, The Bureau of Developmental Disabilities Services (BDDS) received approval from the Centers for Medicare and Medicaid Services to allow for the implementation of the new daily rate structure under Indiana’s Community Integration Habilitation (CIH) waiver, which is available on the BDDS’ webpage.

The daily rate billing structure has been identified for individuals being served by the CIH waiver who are currently designated as an ALGO 3, 4 or 5, who have 1, 2 or 3 housemates in a shared staffing model and are currently receive Residential Habilitation and Support Services (RHS). BDDS is planning to complete an automated conversion of the Cost Comparison Budgets and send out Notice of Action (NOA) forms to providers and case managers on or after July 11, 2015 for a daily rate effective August 1, 2015.

To prepare for this conversion, providers and case managers who have individuals eligible for the daily rate will be receiving two lists:

• A list of individuals who have been identified as meeting the above criteria for inclusion in the daily rate billing structure.
  
• A preliminary list of individuals whose spend amount in 2014 in their DAYS or BMAN services was above the reserve. BDDS is providing providers with these lists so that service planning can take place for these individuals. Both the DAYS and BMAN allocations for these individuals will be taken to their reserve amounts.
  

Providers will need to check their NOA email on Thursday, June 25, 2015 to ensure receipt of these lists and may also contact the InSite helpdesk with any questions.