the past two years?
The primary contact is responsible for submitting the survey once all parts are complete. (ALW) services, in alignment with the end date of the current ALW term,
As part of the project, the State will review and align rates for all services that have a fixed fee schedule amount.
for MA or choose to pay privately for services and; Assessed
|
In What is the best way to contact FSSA concerning a relevant data resource or other information pertinent to the rate review?
0000002826 00000 n
Yes, the scope of this rate review is for FSW and CIHW. LTC facility. WPCS participants and providers can call the WPCSHotline (916) 552-9214.,
Medical Expenses screen.
In addition to encouraging stakeholder participation in future meetings, FSSA requests that stakeholders submit comments via email: HCBS.Ratemethodology@fssa.IN.gov.
%PDF-1.5
The LIFE
0000037751 00000 n
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. This will include wage information, documentation time, travel time, caseloads, and other inputs that are key to the rate review. The survey will ask questions about financial information and services provided. Eligible Dual (NFCE Dual) population.
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LIFE spend-down.
Your participation in the survey is much appreciated! 0 3088. calendar month in which Andrew has resided in the LTC facility for 31
Will the slides from the stakeholder kickoff meeting on October 10, 2022 be posted/shared? Services (DHCS) intends to submit a Home and Community Based Services Waiver (HCBS) amendment for federal approval.
on the first day of the calendar month in which the 31st day of admission
Individuals who were enrolled in OBRA prior to 07/01/2006 will remain
B on the Medical Expenses screen for LIFE consumers residing in an
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On
How much is the federal reimbursement for FSW and CIHW compared to state costs? 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. 94% participant . 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.
in a LTC facility for more than 30 days are authorized in a LTC facility
LIFE Program is like other waiver programs in the following ways: LIFE
|
0000022177 00000 n
Purpose.
is designated with waiver code 96 in eCIS. based on information received via Data Exchange 3. CHC waiver recipients are enrolled into
Settings, Start voice
NOTE:The
The Medicaid Waiver Services Agreement consists of the terms and conditions specified in this Agreement, any attachments, and the following documents, which are incorporated by reference: The Developmental Disabilities Waiver Services Coverage and Limitations Handbook, dated July 2007, and any updates or replacements thereto.
is enrolled in the LIFE Program. Rates Effective January 01 2022.
Restoration Center.
|
|
day of institutionalization occurred. These rate increases become effective on January 1, 2020.
In addition, we will incorporate an estimate of future wage inflation from the current time to the anticipated time of implementation. |
Payment Rates for Individualized Skills and Socialization Services in the DBMD, HCS, and TxHmL .
Cost neutrality compares the average annual cost in an intermediate care facility to the average annual cost for an individual receiving LTSS in the community through the CIHW or FSW.
Will the monthly audits continue when new rates are put into effect? the protected share of resources for the community spouse apply. Home- and Community-Based (HCB) waiver is Kentucky Medicaid provider type 42. than other waiver programs in the following ways: If and when a LIFE recipient can no longer
(PACE). trailer
Data requested will be in aggregate, and specific to the services each agency provides. The
The LIFE Program, once known
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Y|?#D0Q}$Ww_| ; Certified and/or licensed as required by 907 KAR 7:010. where LIFE services are available. Department of Human Services Suspended Regulations.
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Spanish translation of HCBA Waiver Participant Application/Solicitud del Programa de Exencin de Alternativas Basadas en el Hogar y la Comunidad (HCBA), Last modified date:
2 OLTL is including all the costs in the rate setting.
|
Although the rate model framework may start with historical data, it will be adjusted to reflect recent wage increases. cost of care must be determined. FSSA will implement rate reviews for the DDRS during the fall and winter of 2022.
0000001760 00000 n
CHC waiver recipients are .
Dec 5, 2019.
Milliman will be requesting stakeholder input on key information needed to understand the cost of providing services, such as wages, benefits, documentation requirements, travel, professional training, and administrative costs.
The Home and Community Based (HCB) waiver is part of Kentucky's 1915 (c) HCBS Medicaid waiver program.
MANUAL OF SERVICE REIMBURSEMENT RATES AND PROCEDURES . Nursing Facility Ineligible
Eligible Non-Dual (NFCE Non-Dual) population. 0000038462 00000 n
| Careers
Payment Rate Information
30 days or less remain in the HCBS category and are. be eligible for LIFE, an individual must meet the following conditions: Eligible
LIFE provider is responsible for payment to the facility from their capitated
as Nursing Facility Clinically Eligible (NFCE) and; Able
Residential rates will not be reviewed as part of this project. 96 LIFE Medicare B premium as a paid medical expense on the
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8N1sX,MeiqN!M0U&NqI9MYfJi6mTY]ve August 30, 2021, Replacing October 14, 2020, Data
Respondents will be able to access and edit their survey submission until the survey closes at midnight on December 16, 2022.
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following month in addition to: Adding the 35/36 facility code, which begins
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OLTL ARPA Updates 3. .
How long will the survey take to complete? |
the provider at the time of enrollment, and; Reside in locations
LIFE recipients who enter a LTC facility for
Pennsylvania (Expired October 31, 2022, except as noted)*.
and Community Based Services (HCBS).
Please note, only one username/password combination was made available to each provider agency, and only one survey may be submitted per agency. The Centers for Medicare & Medicaid Services (CMS) provides web-based training presentations and other materials on a variety of Home & Community Based Services (HCBS) topics to ensure that CMS, state agencies and other stakeholders have a clear understanding of HCBS Programs. `f|ZoXv2x3(FZv~=MtY0kaOD".vynAt,3Lv@Yq38S 9&n+
pry'_l3#&%^5X\mc;l/T3>pcf,fqt]MM';ll4vMS Email #2: Contained a randomly generated alpha-numeric password.
.
Technical Guidance. Budget Reconciliation Act (OBRA) Waiver.
Stakeholders can respond to the provider survey in early November, or by providing input and feedback regarding the rate analysis project at HCBS.ratemethodology@fssa.in.gov. 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
Section 1915 of the Social Security Act. #EB[=>
If that contract stipulates FFS rates . 0000008900 00000 n
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. 0000035651 00000 n
LIFE recipients residing
-September 1, 2015, Community
0000004622 00000 n
|
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0000052110 00000 n
Individuals
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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. Who is the best person to complete the survey? The system will end the 96 waiver code on the last day
is: LIFE/Forum
Privacy Policy
OLTL previously managed four other waivers: the CommCare Waiver which closed on December 31, 2017, and the Aging Waiver, the Attendant Care .
LIFE applicants must
Stakeholder input is key to understanding service delivery and related costs, challenges, and opportunities. Independence for the Elderly (LIFE) Program, Omnibus
participate and render MA-funded waiver services under the Federally-approved Aging, Attendant Care, COMMCARE, Independence and OBRA Home and Community-Based Service waivers or the Act 150 program.
HOME AND COMMUNITY-BASED SERVICES (HCS) WAIVER PROGRAM PAYMENT RATES EFFECTIVE MARCH 1, 2022 Texas Fee-for-Service HCS Rates - Page 1 of 17 . The updated OLTL HCBS MA Fee Schedule (effective January 1, 2022) may be found here. The transition
)0hup`wSRpsa. |
Milliman makes no representations or warranties regarding the contents of this document to third parties. g:F\{8BuLs 8[|i\Sxw7?oUkx{s]s9R:NfA`?2/Bhw".'hl$iwK7J"cbrul_e+lhJg;+}381w()3sD?x `':R.nyP4nBbS*~ (PACE).
0000064974 00000 n
Community Choices Waiver (CCW) - serves individuals who are aged 65 and older, or individuals who are aged 19 - 64 who have a disability that is verified as meeting Social Security Administration (SSA) disability determination criteria. The LIFE Program is different
The Section Navigation page will serve as your home page in the survey, to track progress and continue where you may have left off. Adult Daycare.
The Developmental Disabilities Administration (DDA) offers five Home and Community Based Services (HCBS) Waivers: Basic Plus Children's Intensive In-home Behavioral Supports (CIIBS) Community Protection Core Individual and Family Services (IFS).
The respondent will be prompted to review all submissions and complete any missing data fields prior to final submission. 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. rate from the date of admission to the 30th day.
NOTE:
Assist with other PDA and OLTL projects as an assessor or monitor of services, as necessary. PO BOX 8025
2 0 obj
Chapters440
.
the HCBS category must be closed the waiver code must remain on the
its HCBS Waiver programs. for the Elderly (LIFE) program. View the findings here.
To bill Kentucky Medicaid, an HCB waiver provider must be: An adult day health care center, home health agency, center for independent living, public health department, home-delivered meal provider or area agency on aging and independent living.
Business Owners.
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.
489.34 Omnibus
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. Community-Based Alternatives (HCBA) Waiver to integrate Assisted Living Waiver
215-663-8090. +Jy~57qh1f}~\|Ooo^5) Oo!bpH/:mTx.$mG9B1k
Direct service and services to meet regulatory requirements and/or contract conditions provided in home and community settings to assist individuals in acquiring, retaining, and improving self .
Primary contacts can be reassigned, as needed, throughout the survey window.
0000012616 00000 n
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Living Independence
The current and previous fee schedule for Ohio Home Care Waiver Home and Community Based Services can be found at: . Readers may be surprised that OLTL is moving forward .
0
468.231 for more information on
Note: These FAQs will be updated as needed during the survey administration period. %PDF-1.7
Effective: July 1, 2022 . The primary agency contact designated by DA received two separate emails from Milliman on November 28, 2022 which invited them to participate in the survey and included unique usernames and passwords.
Are you enrolled in Medi-Cal?
use of the 96 medical expense code will ensure that the premium is correctly
OLTL ARPA Updates CHC Waiver Updates FMS Transition Nursing Home Transition 2022 Outlook 2. It is expected that the survey will take several hours to complete in its entirety. On November 28, 2022, an email was sent to each agency with a link to complete the survey.
Published by the Department Of Public Health & Human Services
The email included a unique, random username along with the link to the survey.
The October 10 presentation indicated an increase in participation of Medicaid waivers of approximately 68% since 2015.
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