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. Assist with other PDA and OLTL projects as an assessor or monitor of services, as necessary. Data requested will be in aggregate, and specific to the services each agency provides. (ALW) services, in alignment with the end date of the current ALW term, A grant agreement was established between OLTL and the CHC-MCOs to procure and distribute PPE to participant-directed direct care workers. Andrew 0000020848 00000 n Once the survey has been submitted, a final message appears thanking the respondent for their participation and providing additional links to the website and email address. The 0000021978 00000 n 0000001760 00000 n The slides from the October 10, 2022 presentation are available by clicking here. 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. hb``0g``c```T\ Note: <>>> Updated If the agency would like to change the primary contact, please contact HCBS.Ratemethodology@fssa.IN.gov. A link to the survey will be sent via email to each provider agency (only one response per agency). HCB provides assistance to the elderly or to adults and children with physical disabilities to help them live in the community as independently as possible. HCBA Waiver Overview The HCBA Waiver (formerly the Nursing Facility/Acute Hospital (NF/AH) Waiver) was approved by CMS on February 2, 2023. 0000054206 00000 n Readers may be surprised that OLTL is moving forward . workflows. 0000001496 00000 n The Pennsylvania Office of Long Term Living (OLTL) program assists elderly people and adults with disabilities through the Attendant Care Act 150 program and these two Medicaid waivers: Community HealthChoices Waiver; OBRA Waiver; Participants can. g:F\{8BuLs 8[|i\Sxw7?oUkx{s]s9R:NfA`?2/Bhw".'hl$iwK7J"cbrul_e+lhJg;+}381w()3sD?x `':R.nyP4nBbS*~ SSI Administrative Office of Pennsylvania Courts (AOPC) Administrative Office of Pennsylvania Courts (AOPC) Department of Agriculture (DAG) Department of Agriculture 2077 0 obj <>/Filter/FlateDecode/ID[]/Index[2064 24]/Info 2063 0 R/Length 74/Prev 66068/Root 2065 0 R/Size 2088/Type/XRef/W[1 2 1]>>stream The Services. fell. Dec 5, 2019. Living 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. ?!6bL/) 8~WOX%uLc WfPm`d4`Ioeeo'Cx!g9mkcF[F G;R 9ID":@ This chapter specifies the provider qualifications and payment provisions for providers rendering services under the Aging, Attendant Care, COMMCARE, Independence and OBRA Home and Community-Based Service waivers and the Act 150 program. | Careers hbbd``b`ju " H0 @#H.Z@ H[,Fb? 0 @ Stakeholder input is key to understanding service delivery and related costs, challenges, and opportunities. Will the monthly audits continue when new rates are put into effect? Skilled Home Health Services, as provided by nurses and therapists, are often covered by Medicare, Medicaid, and a variety of third party insurances, such as Geisinger, Blue Cross/Blue Shield . known nationally as the Program for All-inclusive Care for the Elderly DDRS intends to have the providers maintain responsibility for the monthly DSP passthrough audits. 468.231 for more information on endobj Community-Based Alternatives (HCBA) Waiver to integrate Assisted Living Waiver Individual survey responses will be aggregated to protect confidential business information. Services (DHCS) intends to submit a Home and Community Based Services Waiver (HCBS) amendment for federal approval. 0000029476 00000 n 489.33 Living Targeted Case Management Services for Individuals with Developme ntal Disabilities Enrolled in the 1915 (c) 0208 Home and Community Based (HCBS) Comprehensive Waiver or Eligible Individuals Age 16 and Over. Service ACT150 OBRA Procedure Code Rate Region 1 Rate Region 2 Rate Region 3 Rate Region 4 Unit Fee Schedule Rate Vendor . 0000020952 00000 n | The graph below is consistent with the participation graph from the October 10th presentation, but illustrates the participation growth separately for CIHW (darker blue) compared to the FSW participation growth (lighter blue). To download the tool,click here. OLTL ARPA Updates CHC Waiver Updates FMS Transition Nursing Home Transition 2022 Outlook 2. Is there a consideration for the influx of children under 7 to the waiver? Calculating the cost of care contribution the Home and Community-Based Services (HCBS) program. Section 1915 of the Social Security Act. Author: Boggs, Marion 0000064974 00000 n Balanced input from the full range of stakeholders is critical to this process. rate from the date of admission to the 30th day. Respondents will have access to the full survey during the submission window, up to the point of final submission. Chapters440 Historically, approximately 2/3 of the cost for FSW and CIHW comes from federal funding with the remaining 1/3 of the cost designated from state funds. The primary contact is responsible for submitting the survey once all parts are complete. This waiver is also referred to as the PA Council of Aging Waiver, the PDA Waiver, the Office of Long Term Living (OLTL) Waiver, and the Home and Community-Based Waiver for Individuals Aged 60 and Over. 174 0 obj <>stream Will survey responses be shared with participants? 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. 0000001936 00000 n 0000025467 00000 n In addition, we will incorporate an estimate of future wage inflation from the current time to the anticipated time of implementation. individuals medical eligibility and to provide enrollment services for Information for Providers &Partners, HCBA Waiver Agency TAR Submission Contacts, 1915(c) Home and Community-Based Services Waivers, List of Congregate Living Health Facilities, HCBA PL #22-001 Waiver Personal Care Services (WPCS) Workweek Overtime Exemption Request, Provider Waiver Personal Care Services (WPCS) Frequently Asked Questions, Access Health Care Language Assistance Services (SB 223), Refer to the table above to see which Waiver Agency serves your county/zip code. 0000052110 00000 n As the COVID-19 response evolves, this guidance is subject to change based on lessons learned or due to a resurgence or Medical Expenses screen. Respondents may also freely navigate between sections using this view. endobj 0000076268 00000 n Targeted Case Management Services for Individuals with Developme ntal Disabilities Enrolled in the 1915 (c) 0208 Home and Community Based (HCBS) Comprehensive Waiver or Eligible Individuals Age 16 and Over. Business Owners. of the month in which processing occurs. WPCS participants and providers can call the WPCSHotline (916) 552-9214., It Any input and feedback regarding the rate analysis project can be provided to DDRS at HCBS.ratemethodology@fssa.in.gov. The Home and Community Based (HCB) waiver is part of Kentucky's 1915 (c) HCBS Medicaid waiver program. Department of Human Services Suspended Regulations. Tagalog meet the HCBS resource and income limits and policy found in LTC Handbook LIFE provider is responsible for payment to the facility from their capitated of the Federal Benefit Rate may be reviewed for eligibility in an kjg10}@h}O'XE6H#,T)lE9lbWY1-^feUm9# yDz)p/ 51NcdOHe{bgA,}7|M)ROjx$Tx4y$;F w'A 5i3&y'ZSz ?OqVIb(F.o@]h[8FZ zy>mF %;W{w GSFL`G$^h{4- endobj Medicare B premium, should be end dated prior to the month Buy-In begins | hb``f``Jc ^wT, bPCB9VNpP or fewer no system changes are needed. for enrollment into a CHC Managed Care plan. endobj Eligible Dual (NFCE Dual) population. . Budget Reconciliation Act (OBRA) Waiver. LIFE Program is like other waiver programs in the following ways: LIFE Purpose. 440 recipients will remain in the SSI category with waiver code 96. 0000003969 00000 n Perform assessments for individuals in the Home and Community Based Waiver Programs (HCBS) as requested. Dual (NFI Dual) population. | category with entry of a LTC facility code. Nursing Facility Clinically 2087 0 obj <>stream days or more must be transferred to a LTC facility category and a If additional clarification is needed, a follow-up email will be sent to the primary contact. for MA or choose to pay privately for services, Assessed The provider survey is an important part of the information/data being collected for the HCBS rate review. from the HCBS budget to the LTC budget must be processed in two separate based on information received via Data Exchange 3. | Information on the waiver integration amendment is 0000002980 00000 n The Home and Community Based Services Rate Model discussed in the rules above may be accessed in the Payment Rate Information tab. Please email HCBSMeasures@lewin.com or HCBS-CAHPS@cms.hhs.gov with questions, a technical assistance request, or to participate in the HCBS CAHPS Early Adoption Work Group. The survey will ask questions about financial information and services provided. HWYsH~*QU'LbC%k#$" (qH`/Hs5EwANw (#- endstream endobj startxref ongoing NMP spend-down category. hbbbd`b``3% 1% Division of Developmental Disabilities Targeted Case Management, Home and Community Based waivers . It is expected that the survey will take several hours to complete in its entirety. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> black crop tank top LIFE is a managed-care | Contact Us What role does legislation have? 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. Training topic categories are listed below which house copies of the presentations CMS has presented from 2015 to present. Use the HCBA Waiver Participant Application and follow the instructions on the application to mailit to DHCS. February, 28, 2024. The Home and Community Based Services Waiver is the Medicaid program that provides opportunities for adults and children with intellectual and developmental disabilities to receive services in their own home or community. The updated OLTL HCBS MA Fee Schedule (effective January 1, 2022) may be found here. | OLTL Region Breakdown 09/08/2015 Rate Regions Region 1 Region 2 Region 3 Region 4 Allegheny Bedford Columbia McKean Sullivan Adams Juniata Bucks Armstrong Blair Crawford Mercer Susquehanna Berks Lancaster Chester Beaver Bradford Elk Mifflin Tioga Carbon Lebanon Delaware . HCB offers a variety of services to support each participant's . OLTL previously managed four other waivers: the CommCare Waiver which closed on December 31, 2017, and the Aging Waiver, the Attendant Care . Act 14 of 2022 (Current Extension of COVID-19 Waivers) Act 73 of 2021 (Extension of COVID-19 Waivers) Department of Health Flexibilities for Homecare, Home Health, and Hospice Providers (May 2020) Department of State Licensure Waivers. Business Owners. Residential rates will not be reviewed as part of this project. Privacy Policy 52.3. OLTL has used several mechanisms to distribute PPE to direct care workers who provide home and community-based services (HCBS) since the beginning of the public health emergency. Home- and community-based services rate review webinar (Oct. 31, 2022). Final ID/A Waivers Rates. the first day of the calendar month the 31st day fell in. After the initial general questions are completed, you will be able to navigate to the various sections within the survey via the Section Navigation page. -lS*z*YN7m92Q~9pr7'CkcVL{T>:]am'-W3gw)erj`H}NIMYyT}NE,o5.G:yh@ ':YU:RJVpD4ih&xLgs-^vQFq;